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 $1,079.75 / $1,287.58 / $1,610.70	Professional		$1,079.75	$1,287.58	$1,610.70
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 $1,289.15 / $1,337.80 / $1,337.80	Professional		$1,289.15	$1,337.80	$1,337.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.26 / $1,601.92 / $2,516.69	Professional		$1,132.26	$1,601.92	$2,516.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.59 / $2,087.14 / $2,087.14	Professional		$1,557.59	$2,087.14	$2,087.14
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 $1,114.25 / $1,317.54 / $3,245.36	Professional		$1,114.25	$1,317.54	$3,245.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,508.90 / $3,125.50	Professional		$7.00	$1,508.90	$3,125.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.08 / $1,613.42 / $2,674.07	Professional		$1,245.08	$1,613.42	$2,674.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,221.07 / $1,221.07 / $1,368.41	Facility		$1,221.07	$1,221.07	$1,368.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,173.82 / $1,237.35 / $1,368.41	Professional		$1,173.82	$1,237.35	$1,368.41
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 $1,142.19 / $1,508.06 / $2,499.58	Professional		$1,142.19	$1,508.06	$2,499.58