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 $1,048.67 / $1,177.61 / $1,502.46	Professional		$1,048.67	$1,177.61	$1,502.46
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 $1,041.68 / $1,659.91 / $2,227.59	Professional		$1,041.68	$1,659.91	$2,227.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.41 / $1,524.51 / $2,405.10	Professional		$1,139.41	$1,524.51	$2,405.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.63 / $1,815.93 / $1,820.04	Professional		$1,372.63	$1,815.93	$1,820.04
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 $1,048.67 / $1,255.63 / $3,035.95	Professional		$1,048.67	$1,255.63	$3,035.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,512.00 / $2,924.20	Professional		$7.00	$1,512.00	$2,924.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.50 / $1,539.91 / $2,489.52	Professional		$1,157.50	$1,539.91	$2,489.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.43 / $1,148.43 / $1,402.19	Facility		$1,148.43	$1,148.43	$1,402.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,112.79 / $1,154.94 / $1,402.19	Professional		$1,112.79	$1,154.94	$1,402.19
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 $1,153.03 / $1,458.87 / $2,472.58	Professional		$1,153.03	$1,458.87	$2,472.58