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 $1,083.89 / $1,217.45 / $1,552.11	Professional		$1,083.89	$1,217.45	$1,552.11
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 $1,077.08 / $1,715.58 / $2,300.08	Professional		$1,077.08	$1,715.58	$2,300.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.35 / $1,576.45 / $2,480.62	Professional		$1,178.35	$1,576.45	$2,480.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.44 / $1,879.09 / $1,885.38	Professional		$1,420.44	$1,879.09	$1,885.38
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 $1,083.89 / $1,295.97 / $3,143.18	Professional		$1,083.89	$1,295.97	$3,143.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,626.40 / $3,028.80	Professional		$6.00	$1,626.40	$3,028.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.58 / $1,592.55 / $2,485.88	Professional		$1,181.58	$1,592.55	$2,485.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,186.95 / $1,186.95 / $1,709.47	Facility		$1,186.95	$1,186.95	$1,709.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,150.60 / $1,193.14 / $1,709.47	Professional		$1,150.60	$1,193.14	$1,709.47
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 $1,137.59 / $1,511.74 / $2,532.19	Professional		$1,137.59	$1,511.74	$2,532.19