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 $1,158.64 / $1,302.35 / $1,578.34	Professional		$1,158.64	$1,302.35	$1,578.34
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 $990.84 / $1,478.36 / $2,147.80	Professional		$990.84	$1,478.36	$2,147.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $1,506.52 / $2,331.04	Professional		$1,095.00	$1,506.52	$2,331.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.76 / $1,693.76 / $1,805.10	Professional		$1,693.76	$1,693.76	$1,805.10
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 $1,094.02 / $1,350.96 / $5,758.37	Professional		$1,094.02	$1,350.96	$5,758.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,709.30 / $2,858.70	Professional		$8.00	$1,709.30	$2,858.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.70 / $1,506.52 / $2,337.69	Professional		$1,165.70	$1,506.52	$2,337.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,099.55 / $1,099.55 / $1,468.04	Facility		$1,099.55	$1,099.55	$1,468.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.15 / $1,121.54 / $1,468.04	Professional		$1,046.15	$1,121.54	$1,468.04
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 $1,089.84 / $1,472.54 / $2,334.60	Professional		$1,089.84	$1,472.54	$2,334.60