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 $1,209.53 / $1,329.37 / $1,615.46	Professional		$1,209.53	$1,329.37	$1,615.46
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 $1,013.81 / $1,564.26 / $2,276.79	Professional		$1,013.81	$1,564.26	$2,276.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.33 / $1,543.46 / $2,386.19	Professional		$1,122.33	$1,543.46	$2,386.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.52 / $1,733.52 / $1,845.94	Professional		$1,733.52	$1,733.52	$1,845.94
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 $1,158.36 / $1,384.68 / $5,958.00	Professional		$1,158.36	$1,384.68	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,985.40 / $2,820.60	Professional		$8.00	$1,985.40	$2,820.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.72 / $1,548.57 / $2,409.88	Professional		$1,192.72	$1,548.57	$2,409.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,125.56 / $1,125.56 / $1,251.35	Facility		$1,125.56	$1,125.56	$1,251.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.10 / $1,148.07 / $1,251.35	Professional		$1,071.10	$1,148.07	$1,251.35
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 $1,133.34 / $1,513.61 / $2,509.16	Professional		$1,133.34	$1,513.61	$2,509.16