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 $1,243.38 / $1,402.76 / $1,817.11	Professional		$1,243.38	$1,402.76	$1,817.11
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 $1,407.67 / $1,460.79 / $1,460.79	Professional		$1,407.67	$1,460.79	$1,460.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.94 / $1,785.71 / $2,778.53	Professional		$1,263.94	$1,785.71	$2,778.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.00 / $2,280.08 / $2,280.08	Professional		$1,702.00	$2,280.08	$2,280.08
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 $1,243.38 / $1,436.94 / $3,683.92	Professional		$1,243.38	$1,436.94	$3,683.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,604.50 / $3,551.00	Professional		$6.00	$1,604.50	$3,551.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.99 / $1,813.29 / $2,860.76	Professional		$1,327.99	$1,813.29	$2,860.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,301.88 / $1,375.31 / $1,375.31	Facility		$1,301.88	$1,375.31	$1,375.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,301.88 / $1,375.31 / $1,449.86	Professional		$1,301.88	$1,375.31	$1,449.86
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 $1,234.91 / $1,761.77 / $3,034.70	Professional		$1,234.91	$1,761.77	$3,034.70