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 $1,220.44 / $1,381.11 / $2,564.85	Professional		$1,220.44	$1,381.11	$2,564.85
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 $1,521.83 / $1,579.26 / $1,579.26	Professional		$1,521.83	$1,579.26	$1,579.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.69 / $1,886.75 / $3,045.60	Professional		$1,435.69	$1,886.75	$3,045.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.47 / $2,397.34 / $2,397.34	Professional		$1,803.47	$2,397.34	$2,397.34
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 $1,266.59 / $1,481.34 / $5,278.00	Professional		$1,266.59	$1,481.34	$5,278.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,815.60 / $3,834.30	Professional		$7.00	$1,815.60	$3,834.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.79 / $1,918.05 / $3,059.93	Professional		$1,445.79	$1,918.05	$3,059.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,485.97 / $1,485.97 / $1,858.71	Facility		$1,485.97	$1,485.97	$1,858.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,438.04 / $1,495.87 / $1,858.71	Professional		$1,438.04	$1,495.87	$1,858.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,627.00 / $6,340.19 / $10,855.00	Facility		$3,627.00	$6,340.19	$10,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,362.02 / $1,816.15 / $2,977.69	Professional		$1,362.02	$1,816.15	$2,977.69