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 $1,242.30 / $1,379.17 / $1,682.47	Professional		$1,242.30	$1,379.17	$1,682.47
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 $1,056.73 / $1,574.87 / $2,286.56	Professional		$1,056.73	$1,574.87	$2,286.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.70 / $1,604.65 / $2,486.09	Professional		$1,186.70	$1,604.65	$2,486.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.05 / $1,809.05 / $1,924.82	Professional		$1,809.05	$1,809.05	$1,924.82
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 $1,204.47 / $1,442.16 / $5,958.00	Professional		$1,204.47	$1,442.16	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,611.10 / $2,940.90	Professional		$15.00	$1,611.10	$2,940.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,604.65 / $2,489.96	Professional		$1,275.00	$1,604.65	$2,489.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,172.68 / $1,172.68 / $1,351.76	Facility		$1,172.68	$1,172.68	$1,351.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,116.10 / $1,196.13 / $1,351.76	Professional		$1,116.10	$1,196.13	$1,351.76
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 $1,147.86 / $1,602.18 / $2,485.02	Professional		$1,147.86	$1,602.18	$2,485.02