Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.23 / $1,094.48 / $1,396.97	Professional		$974.23	$1,094.48	$1,396.97
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 $1,097.66 / $1,139.08 / $1,139.08	Professional		$1,097.66	$1,139.08	$1,139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.81 / $1,454.14 / $2,321.91	Professional		$1,054.81	$1,454.14	$2,321.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $1,688.03 / $1,693.02	Professional		$1,276.07	$1,688.03	$1,693.02
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 $974.23 / $1,166.24 / $2,843.00	Professional		$974.23	$1,166.24	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,423.60 / $2,719.10	Professional		$6.00	$1,423.60	$2,719.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.17 / $1,492.38 / $2,542.02	Professional		$1,059.17	$1,492.38	$2,542.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,068.02 / $1,068.02 / $1,314.92	Facility		$1,068.02	$1,068.02	$1,314.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,035.06 / $1,073.86 / $1,314.92	Professional		$1,035.06	$1,073.86	$1,314.92
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 $1,050.19 / $1,356.71 / $2,250.09	Professional		$1,050.19	$1,356.71	$2,250.09