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 $1,007.83 / $1,119.81 / $1,308.27	Professional		$1,007.83	$1,119.81	$1,308.27
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 $821.78 / $1,223.30 / $1,776.32	Professional		$821.78	$1,223.30	$1,776.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.11 / $1,276.84 / $1,949.88	Professional		$911.11	$1,276.84	$1,949.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.91 / $1,408.91 / $1,496.85	Professional		$1,408.91	$1,408.91	$1,496.85
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 $904.04 / $1,142.86 / $4,779.46	Professional		$904.04	$1,142.86	$4,779.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,679.10 / $2,415.40	Professional		$10.00	$1,679.10	$2,415.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $975.16 / $1,297.54 / $1,981.32	Professional		$975.16	$1,297.54	$1,981.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.27 / $912.27 / $1,238.55	Facility		$912.27	$912.27	$1,238.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $868.78 / $930.52 / $1,238.55	Professional		$868.78	$930.52	$1,238.55
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 $924.26 / $1,218.54 / $1,964.36	Professional		$924.26	$1,218.54	$1,964.36