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 $1,051.21 / $1,243.60 / $1,528.73	Professional		$1,051.21	$1,243.60	$1,528.73
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 $1,132.59 / $1,175.33 / $1,175.33	Professional		$1,132.59	$1,175.33	$1,175.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.52 / $1,410.61 / $2,316.56	Professional		$1,079.52	$1,410.61	$2,316.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.72 / $1,750.72 / $1,826.82	Professional		$1,750.72	$1,750.72	$1,826.82
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 $1,032.20 / $1,316.28 / $5,667.19	Professional		$1,032.20	$1,316.28	$5,667.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,535.70 / $2,731.30	Professional		$15.00	$1,535.70	$2,731.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.91 / $1,416.03 / $2,210.51	Professional		$1,121.91	$1,416.03	$2,210.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,052.09 / $1,073.17 / $1,073.17	Facility		$1,052.09	$1,073.17	$1,073.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,028.89 / $1,073.17 / $1,127.33	Professional		$1,028.89	$1,073.17	$1,127.33
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.48 / $1,335.13 / $2,222.96	Professional		$1,024.48	$1,335.13	$2,222.96