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 $1,331.26 / $1,443.15 / $1,724.08	Professional		$1,331.26	$1,443.15	$1,724.08
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 $1,108.85 / $1,304.54 / $1,304.54	Professional		$1,108.85	$1,304.54	$1,304.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.66 / $1,626.69 / $2,655.50	Professional		$1,213.66	$1,626.69	$2,655.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.68 / $1,931.68 / $1,936.90	Professional		$1,931.68	$1,931.68	$1,936.90
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 $1,156.48 / $1,478.53 / $6,646.11	Professional		$1,156.48	$1,478.53	$6,646.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,150.10 / $3,118.60	Professional		$3.00	$2,150.10	$3,118.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.24 / $1,640.26 / $2,655.50	Professional		$1,281.24	$1,640.26	$2,655.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,223.73 / $1,223.73 / $1,605.07	Facility		$1,223.73	$1,223.73	$1,605.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,185.78 / $1,230.64 / $1,605.07	Professional		$1,185.78	$1,230.64	$1,605.07
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 $1,209.46 / $1,612.80 / $2,582.42	Professional		$1,209.46	$1,612.80	$2,582.42