Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,081.77	Professional		$1,987.50	$1,987.50	$3,081.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $915.39 / $949.94 / $949.94	Professional		$915.39	$949.94	$949.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $482.72 / $595.00	Professional		$294.00	$482.72	$595.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,544.00 / $1,987.50 / $3,100.50	Professional		$1,544.00	$1,987.50	$3,100.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $482.72 / $630.00	Professional		$315.00	$482.72	$630.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,718.49 / $1,718.49 / $1,718.49	Facility		$1,718.49	$1,718.49	$1,718.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,718.49 / $1,718.49 / $1,718.49	Professional		$1,718.49	$1,718.49	$1,718.49
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00