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 $1,205.39 / $1,345.23 / $1,685.50	Professional		$1,205.39	$1,345.23	$1,685.50
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 $1,057.63 / $1,579.74 / $2,294.12	Professional		$1,057.63	$1,579.74	$2,294.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.88 / $1,536.99 / $2,418.17	Professional		$1,169.88	$1,536.99	$2,418.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.73 / $1,807.73 / $1,925.86	Professional		$1,807.73	$1,807.73	$1,925.86
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 $1,168.92 / $1,443.52 / $5,958.00	Professional		$1,168.92	$1,443.52	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,806.90 / $2,939.90	Professional		$8.00	$1,806.90	$2,939.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.71 / $1,566.84 / $2,418.17	Professional		$1,187.71	$1,566.84	$2,418.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.20 / $1,174.20 / $1,298.71	Facility		$1,174.20	$1,174.20	$1,298.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,116.94 / $1,197.68 / $1,298.71	Professional		$1,116.94	$1,197.68	$1,298.71
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 $1,109.39 / $1,572.45 / $2,428.91	Professional		$1,109.39	$1,572.45	$2,428.91