Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.66 / $1,355.75 / $1,698.75	Professional		$1,240.66	$1,355.75	$1,698.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,065.31 / $1,592.68 / $2,313.44	Professional		$1,065.31	$1,592.68	$2,313.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.07 / $1,585.52 / $2,441.52	Professional		$1,179.07	$1,585.52	$2,441.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.91 / $1,820.91 / $1,939.40	Professional		$1,820.91	$1,820.91	$1,939.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,178.24 / $1,454.86 / $5,958.00	Professional		$1,178.24	$1,454.86	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,210.80 / $2,963.00	Professional		$10.00	$2,210.80	$2,963.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,244.01 / $1,585.52 / $2,441.52	Professional		$1,244.01	$1,585.52	$2,441.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,183.42 / $1,183.42 / $1,510.70	Facility		$1,183.42	$1,183.42	$1,510.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.94 / $1,207.08 / $1,510.70	Professional		$1,125.94	$1,207.08	$1,510.70
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.58 / $1,598.81 / $2,536.96	Professional		$1,200.58	$1,598.81	$2,536.96