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 $1,167.44 / $1,214.77 / $1,522.19	Professional		$1,167.44	$1,214.77	$1,522.19
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 $955.66 / $1,427.11 / $2,072.46	Professional		$955.66	$1,427.11	$2,072.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.22 / $1,389.34 / $2,185.19	Professional		$1,056.22	$1,389.34	$2,185.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.99 / $1,633.99 / $1,740.61	Professional		$1,633.99	$1,633.99	$1,740.61
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 $1,058.04 / $1,301.33 / $2,843.00	Professional		$1,058.04	$1,301.33	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,748.80 / $2,654.50	Professional		$8.00	$1,748.80	$2,654.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.35 / $1,398.73 / $2,185.19	Professional		$1,114.35	$1,398.73	$2,185.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,060.55 / $1,060.55 / $1,258.17	Facility		$1,060.55	$1,060.55	$1,258.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,008.91 / $1,081.76 / $1,258.17	Professional		$1,008.91	$1,081.76	$1,258.17
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 $1,025.71 / $1,420.95 / $2,244.37	Professional		$1,025.71	$1,420.95	$2,244.37