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 $963.96 / $1,078.46 / $1,387.55	Professional		$963.96	$1,078.46	$1,387.55
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 $1,070.63 / $1,111.03 / $1,111.03	Professional		$1,070.63	$1,111.03	$1,111.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.80 / $1,376.52 / $2,177.82	Professional		$1,042.80	$1,376.52	$2,177.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.33 / $1,686.00 / $1,686.00	Professional		$1,268.33	$1,686.00	$1,686.00
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 $969.27 / $1,139.10 / $2,843.00	Professional		$969.27	$1,139.10	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,216.59 / $2,743.90	Professional		$6.00	$1,216.59	$2,743.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.05 / $1,376.53 / $2,178.03	Professional		$1,075.05	$1,376.53	$2,178.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,059.65 / $1,059.65 / $1,120.11	Facility		$1,059.65	$1,059.65	$1,120.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $1,066.48 / $1,120.11	Professional		$1,025.69	$1,066.48	$1,120.11
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 $998.17 / $1,297.56 / $2,134.88	Professional		$998.17	$1,297.56	$2,134.88