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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,418.94 / $1,754.53	Professional		$1,225.28	$1,418.94	$1,754.53
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 $1,378.92 / $1,430.96 / $1,430.96	Professional		$1,378.92	$1,430.96	$1,430.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.30 / $1,782.88 / $2,832.43	Professional		$1,331.30	$1,782.88	$2,832.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.75 / $2,120.11 / $2,126.50	Professional		$1,602.75	$2,120.11	$2,126.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,225.28 / $1,466.16 / $4,374.83	Professional		$1,225.28	$1,466.16	$4,374.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,832.10 / $3,419.50	Professional		$7.00	$1,832.10	$3,419.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.86 / $1,799.25 / $2,847.78	Professional		$1,338.86	$1,799.25	$2,847.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,341.39 / $1,341.39 / $1,796.01	Facility		$1,341.39	$1,341.39	$1,796.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.01 / $1,348.73 / $1,796.01	Professional		$1,300.01	$1,348.73	$1,796.01
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 $1,361.28 / $1,705.59 / $2,789.40	Professional		$1,361.28	$1,705.59	$2,789.40