Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.61 / $1,380.10 / $1,724.60	Professional		$1,327.61	$1,380.10	$1,724.60
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 $1,226.44 / $1,272.72 / $1,272.72	Professional		$1,226.44	$1,272.72	$1,272.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.86 / $1,616.01 / $2,507.59	Professional		$1,214.86	$1,616.01	$2,507.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,851.97 / $1,851.97 / $1,970.48	Professional		$1,851.97	$1,851.97	$1,970.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,190.57 / $1,477.78 / $5,958.00	Professional		$1,190.57	$1,477.78	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,024.30 / $3,013.60	Professional		$15.00	$2,024.30	$3,013.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,616.01 / $2,507.59	Professional		$1,275.00	$1,616.01	$2,507.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,201.97 / $1,201.97 / $1,343.95	Facility		$1,201.97	$1,201.97	$1,343.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,143.59 / $1,226.01 / $1,343.95	Professional		$1,143.59	$1,226.01	$1,343.95
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 $1,209.80 / $1,639.84 / $2,557.58	Professional		$1,209.80	$1,639.84	$2,557.58