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 $1,141.01 / $1,361.92 / $1,673.35	Professional		$1,141.01	$1,361.92	$1,673.35
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 $1,284.04 / $1,332.50 / $1,332.50	Professional		$1,284.04	$1,332.50	$1,332.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.89 / $1,674.35 / $2,627.64	Professional		$1,238.89	$1,674.35	$2,627.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.62 / $1,974.58 / $1,979.80	Professional		$1,492.62	$1,974.58	$1,979.80
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 $1,141.01 / $1,371.69 / $4,073.91	Professional		$1,141.01	$1,371.69	$4,073.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,642.00 / $3,183.60	Professional		$6.00	$1,642.00	$3,183.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.50 / $1,674.45 / $2,675.46	Professional		$1,255.50	$1,674.45	$2,675.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,249.14 / $1,249.14 / $1,501.63	Facility		$1,249.14	$1,249.14	$1,501.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.54 / $1,256.04 / $1,501.63	Professional		$1,210.54	$1,256.04	$1,501.63
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 $1,244.78 / $1,600.15 / $2,620.84	Professional		$1,244.78	$1,600.15	$2,620.84