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 $1,297.72 / $1,480.02 / $1,903.07	Professional		$1,297.72	$1,480.02	$1,903.07
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 $1,472.48 / $1,528.04 / $1,528.04	Professional		$1,472.48	$1,528.04	$1,528.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.18 / $1,869.73 / $2,991.37	Professional		$1,319.18	$1,869.73	$2,991.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.13 / $2,384.35 / $2,384.35	Professional		$1,779.13	$2,384.35	$2,384.35
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 $1,297.72 / $1,572.70 / $3,844.91	Professional		$1,297.72	$1,572.70	$3,844.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,686.30 / $3,703.00	Professional		$7.00	$1,686.30	$3,703.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.13 / $1,898.52 / $3,069.63	Professional		$1,389.13	$1,898.52	$3,069.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,438.71 / $1,438.71 / $1,480.70	Facility		$1,438.71	$1,438.71	$1,480.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,378.93 / $1,461.66 / $1,514.60	Professional		$1,378.93	$1,461.66	$1,514.60
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,228.00	Facility		$625.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,314.17 / $1,812.57 / $3,191.47	Professional		$1,314.17	$1,812.57	$3,191.47