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 $1,229.18 / $1,394.74 / $1,801.82	Professional		$1,229.18	$1,394.74	$1,801.82
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 $1,347.77 / $2,151.19 / $2,850.30	Professional		$1,347.77	$2,151.19	$2,850.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.46 / $1,908.80 / $3,064.89	Professional		$1,441.46	$1,908.80	$3,064.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.89 / $2,407.15 / $2,407.15	Professional		$1,810.89	$2,407.15	$2,407.15
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 $1,231.60 / $1,441.63 / $2,843.00	Professional		$1,231.60	$1,441.63	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,799.70 / $3,864.80	Professional		$7.00	$1,799.70	$3,864.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.12 / $1,931.78 / $3,068.31	Professional		$1,453.12	$1,931.78	$3,068.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.89 / $1,494.89 / $1,874.85	Facility		$1,494.89	$1,494.89	$1,874.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,446.90 / $1,504.61 / $1,874.85	Professional		$1,446.90	$1,504.61	$1,874.85
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 $1,371.80 / $1,831.42 / $3,013.23	Professional		$1,371.80	$1,831.42	$3,013.23