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 $1,350.68 / $1,507.46 / $1,954.50	Professional		$1,350.68	$1,507.46	$1,954.50
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 $1,349.77 / $2,119.26 / $2,777.62	Professional		$1,349.77	$2,119.26	$2,777.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,832.96 / $6,164.99 / $7,386.36	Professional		$5,832.96	$6,164.99	$7,386.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.38 / $2,483.60 / $2,483.60	Professional		$1,855.38	$2,483.60	$2,483.60
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 $1,350.68 / $1,543.96 / $3,991.35	Professional		$1,350.68	$1,543.96	$3,991.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,668.90 / $3,856.00	Professional		$7.00	$1,668.90	$3,856.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,832.96 / $6,164.99 / $7,386.36	Professional		$5,832.96	$6,164.99	$7,386.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,484.02 / $1,484.02 / $1,517.34	Facility		$1,484.02	$1,484.02	$1,517.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,428.00 / $1,501.57 / $1,570.03	Professional		$1,428.00	$1,501.57	$1,570.03
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 $1,310.93 / $1,805.30 / $3,028.59	Professional		$1,310.93	$1,805.30	$3,028.59