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 $1,081.89 / $1,227.27 / $1,583.56	Professional		$1,081.89	$1,227.27	$1,583.56
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 $1,082.18 / $1,719.18 / $2,314.91	Professional		$1,082.18	$1,719.18	$2,314.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.35 / $1,556.16 / $2,490.78	Professional		$1,099.35	$1,556.16	$2,490.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.65 / $1,986.63 / $1,986.63	Professional		$1,482.65	$1,986.63	$1,986.63
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 $1,081.89 / $1,318.72 / $4,007.36	Professional		$1,081.89	$1,318.72	$4,007.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,403.00 / $3,087.00	Professional		$7.00	$1,403.00	$3,087.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.99 / $1,581.90 / $2,543.92	Professional		$1,174.99	$1,581.90	$2,543.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,197.83 / $1,197.83 / $1,351.81	Facility		$1,197.83	$1,197.83	$1,351.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.69 / $1,216.30 / $1,351.81	Professional		$1,148.69	$1,216.30	$1,351.81
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 $1,095.17 / $1,545.10 / $2,651.31	Professional		$1,095.17	$1,545.10	$2,651.31