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 $1,059.71 / $1,180.53 / $2,210.42	Professional		$1,059.71	$1,180.53	$2,210.42
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 $885.85 / $1,401.38 / $2,038.77	Professional		$885.85	$1,401.38	$2,038.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.89 / $1,356.76 / $2,085.64	Professional		$980.89	$1,356.76	$2,085.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.50 / $1,515.50 / $1,613.01	Professional		$1,515.50	$1,515.50	$1,613.01
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 $1,059.71 / $1,244.57 / $3,592.98	Professional		$1,059.71	$1,244.57	$3,592.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,608.70 / $2,328.00	Professional		$8.00	$1,608.70	$2,328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.18 / $1,370.26 / $2,105.32	Professional		$1,042.18	$1,370.26	$2,105.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $983.79 / $983.79 / $1,404.17	Facility		$983.79	$983.79	$1,404.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $936.28 / $1,003.47 / $1,404.17	Professional		$936.28	$1,003.47	$1,404.17
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 $994.81 / $1,316.46 / $2,107.92	Professional		$994.81	$1,316.46	$2,107.92