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 $1,089.39 / $1,223.83 / $1,560.80	Professional		$1,089.39	$1,223.83	$1,560.80
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 $1,083.52 / $1,725.13 / $2,313.79	Professional		$1,083.52	$1,725.13	$2,313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.54 / $1,584.02 / $2,484.09	Professional		$1,184.54	$1,584.02	$2,484.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.38 / $1,891.13 / $1,896.56	Professional		$1,429.38	$1,891.13	$1,896.56
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 $1,089.39 / $1,303.27 / $3,158.91	Professional		$1,089.39	$1,303.27	$3,158.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,547.00 / $3,043.90	Professional		$7.00	$1,547.00	$3,043.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.92 / $1,600.90 / $2,493.42	Professional		$1,190.92	$1,600.90	$2,493.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,193.55 / $1,193.55 / $1,386.26	Facility		$1,193.55	$1,193.55	$1,386.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,156.97 / $1,199.81 / $1,386.26	Professional		$1,156.97	$1,199.81	$1,386.26
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 $1,153.39 / $1,493.52 / $2,475.53	Professional		$1,153.39	$1,493.52	$2,475.53