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 / $3,036.71	Professional		$1,987.50	$1,987.50	$3,036.71
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 $1,908.94 / $1,980.98 / $1,980.98	Professional		$1,908.94	$1,980.98	$1,980.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $511.49 / $7,656.96	Professional		$350.00	$511.49	$7,656.96
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 / $5,773.00 / $6,321.40	Professional		$7.00	$5,773.00	$6,321.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $800.00 / $2,269.00	Facility		$495.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $518.00 / $7,656.96	Professional		$350.00	$518.00	$7,656.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,110.31 / $3,110.31 / $3,110.31	Facility		$3,110.31	$3,110.31	$3,110.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,110.31 / $3,110.31 / $3,110.31	Professional		$3,110.31	$3,110.31	$3,110.31
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