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 $1,010.57 / $1,106.81 / $1,364.85	Professional		$1,010.57	$1,106.81	$1,364.85
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 $857.57 / $1,276.80 / $1,852.26	Professional		$857.57	$1,276.80	$1,852.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.48 / $1,316.13 / $2,017.49	Professional		$950.48	$1,316.13	$2,017.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,469.66 / $1,469.66 / $1,562.26	Professional		$1,469.66	$1,469.66	$1,562.26
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 $943.55 / $1,205.82 / $4,986.27	Professional		$943.55	$1,205.82	$4,986.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,726.90 / $2,390.10	Professional		$10.00	$1,726.90	$2,390.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.41 / $1,340.63 / $2,057.82	Professional		$1,012.41	$1,340.63	$2,057.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $951.64 / $951.64 / $1,260.57	Facility		$951.64	$951.64	$1,260.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $906.19 / $970.67 / $1,260.57	Professional		$906.19	$970.67	$1,260.57
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 $963.05 / $1,309.54 / $2,050.64	Professional		$963.05	$1,309.54	$2,050.64