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 $1,199.57 / $1,461.08 / $1,829.81	Professional		$1,199.57	$1,461.08	$1,829.81
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 $1,156.83 / $1,697.72 / $2,305.91	Professional		$1,156.83	$1,697.72	$2,305.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.78 / $1,648.74 / $2,685.46	Professional		$1,172.78	$1,648.74	$2,685.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.37 / $2,022.37 / $2,121.56	Professional		$2,022.37	$2,022.37	$2,121.56
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 $1,199.57 / $1,571.57 / $5,958.00	Professional		$1,199.57	$1,571.57	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,014.30 / $3,290.90	Professional		$10.00	$1,014.30	$3,290.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.08 / $1,667.18 / $2,664.05	Professional		$1,267.08	$1,667.18	$2,664.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,159.78 / $1,283.28 / $1,283.28	Facility		$1,159.78	$1,283.28	$1,283.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,159.78 / $1,283.28 / $1,349.48	Professional		$1,159.78	$1,283.28	$1,349.48
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 $1,175.81 / $1,554.00 / $2,667.95	Professional		$1,175.81	$1,554.00	$2,667.95