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 $1,130.07 / $1,268.14 / $1,618.36	Professional		$1,130.07	$1,268.14	$1,618.36
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 $1,271.68 / $1,319.67 / $1,319.67	Professional		$1,271.68	$1,319.67	$1,319.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.20 / $1,646.55 / $2,595.81	Professional		$1,227.20	$1,646.55	$2,595.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.13 / $1,955.31 / $1,960.94	Professional		$1,478.13	$1,955.31	$1,960.94
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 $1,130.07 / $1,353.33 / $3,273.42	Professional		$1,130.07	$1,353.33	$3,273.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,521.20 / $3,153.40	Professional		$6.00	$1,521.20	$3,153.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.83 / $1,658.55 / $2,632.45	Professional		$1,246.83	$1,658.55	$2,632.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,237.24 / $1,237.24 / $1,244.33	Facility		$1,237.24	$1,237.24	$1,244.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,199.28 / $1,244.05 / $1,292.94	Professional		$1,199.28	$1,244.05	$1,292.94
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,155.00 / $3,742.00	Facility		$435.00	$1,155.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,190.18 / $1,580.00 / $2,702.91	Professional		$1,190.18	$1,580.00	$2,702.91