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 $1,065.85 / $1,207.31 / $1,533.25	Professional		$1,065.85	$1,207.31	$1,533.25
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 $1,042.86 / $1,689.95 / $2,263.31	Professional		$1,042.86	$1,689.95	$2,263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.30 / $1,545.69 / $2,440.21	Professional		$1,154.30	$1,545.69	$2,440.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.11 / $1,817.87 / $1,822.08	Professional		$1,374.11	$1,817.87	$1,822.08
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 $1,065.85 / $1,277.83 / $3,086.64	Professional		$1,065.85	$1,277.83	$3,086.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,540.70 / $2,972.60	Professional		$7.00	$1,540.70	$2,972.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.29 / $1,576.24 / $2,481.12	Professional		$1,166.29	$1,576.24	$2,481.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,169.21 / $1,169.21 / $1,492.92	Facility		$1,169.21	$1,169.21	$1,492.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,130.06 / $1,178.40 / $1,492.92	Professional		$1,130.06	$1,178.40	$1,492.92
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.05 / $1,438.58 / $2,421.67	Professional		$1,128.05	$1,438.58	$2,421.67