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 $1,398.23 / $1,469.56 / $1,816.24	Professional		$1,398.23	$1,469.56	$1,816.24
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 $1,139.88 / $1,699.83 / $2,468.32	Professional		$1,139.88	$1,699.83	$2,468.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.65 / $1,730.87 / $2,683.05	Professional		$1,261.65	$1,730.87	$2,683.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.16 / $1,950.16 / $2,076.30	Professional		$1,950.16	$1,950.16	$2,076.30
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 $1,257.18 / $1,556.10 / $5,958.00	Professional		$1,257.18	$1,556.10	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,525.50 / $3,171.20	Professional		$10.00	$1,525.50	$3,171.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.03 / $1,730.87 / $2,685.83	Professional		$1,341.03	$1,730.87	$2,685.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,265.58 / $1,265.58 / $1,294.11	Facility		$1,265.58	$1,265.58	$1,294.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,204.41 / $1,290.90 / $1,319.54	Professional		$1,204.41	$1,290.90	$1,319.54
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 $1,243.21 / $1,692.30 / $2,709.71	Professional		$1,243.21	$1,692.30	$2,709.71