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 $1,306.23 / $1,367.92 / $1,696.24	Professional		$1,306.23	$1,367.92	$1,696.24
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 $1,064.74 / $1,587.00 / $2,304.67	Professional		$1,064.74	$1,587.00	$2,304.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.24 / $1,609.03 / $2,496.77	Professional		$1,179.24	$1,609.03	$2,496.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.62 / $1,822.62 / $1,939.06	Professional		$1,822.62	$1,822.62	$1,939.06
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 $1,173.69 / $1,453.92 / $5,958.00	Professional		$1,173.69	$1,453.92	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,812.90 / $3,089.00	Professional		$10.00	$1,812.90	$3,089.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.64 / $1,623.59 / $2,496.77	Professional		$1,252.64	$1,623.59	$2,496.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,182.26 / $1,182.26 / $1,508.44	Facility		$1,182.26	$1,182.26	$1,508.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.38 / $1,205.91 / $1,508.44	Professional		$1,125.38	$1,205.91	$1,508.44
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 $1,154.75 / $1,614.89 / $2,530.28	Professional		$1,154.75	$1,614.89	$2,530.28