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 $1,031.97 / $1,152.21 / $1,417.25	Professional		$1,031.97	$1,152.21	$1,417.25
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 $889.84 / $1,324.92 / $1,924.33	Professional		$889.84	$1,324.92	$1,924.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.06 / $1,358.36 / $2,094.58	Professional		$986.06	$1,358.36	$2,094.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.39 / $1,524.39 / $1,620.86	Professional		$1,524.39	$1,524.39	$1,620.86
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 $980.09 / $1,215.22 / $5,174.12	Professional		$980.09	$1,215.22	$5,174.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,727.90 / $2,479.40	Professional		$10.00	$1,727.90	$2,479.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,046.86 / $1,362.39 / $2,107.80	Professional		$1,046.86	$1,362.39	$2,107.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $988.01 / $988.01 / $1,235.64	Facility		$988.01	$988.01	$1,235.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $940.91 / $1,007.77 / $1,235.64	Professional		$940.91	$1,007.77	$1,235.64
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 $999.29 / $1,362.35 / $2,133.42	Professional		$999.29	$1,362.35	$2,133.42