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 $1,316.67 / $1,527.83 / $1,915.08	Professional		$1,316.67	$1,527.83	$1,915.08
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 $1,504.38 / $1,561.15 / $1,561.15	Professional		$1,504.38	$1,561.15	$1,561.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.87 / $1,943.93 / $3,067.72	Professional		$1,451.87	$1,943.93	$3,067.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.95 / $2,310.98 / $2,315.14	Professional		$1,746.95	$2,310.98	$2,315.14
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 $1,329.66 / $1,531.09 / $3,866.04	Professional		$1,329.66	$1,531.09	$3,866.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,971.00 / $3,722.50	Professional		$8.00	$1,971.00	$3,722.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.02 / $1,962.21 / $3,191.15	Professional		$1,476.02	$1,962.21	$3,191.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,463.41 / $1,463.41 / $1,882.21	Facility		$1,463.41	$1,463.41	$1,882.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,417.62 / $1,472.10 / $1,882.21	Professional		$1,417.62	$1,472.10	$1,882.21
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 $1,403.11 / $1,858.29 / $3,181.67	Professional		$1,403.11	$1,858.29	$3,181.67