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 $1,144.22 / $1,294.52 / $1,755.22	Professional		$1,144.22	$1,294.52	$1,755.22
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 $1,422.44 / $1,476.11 / $1,476.11	Professional		$1,422.44	$1,476.11	$1,476.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.92 / $1,782.52 / $2,854.05	Professional		$1,341.92	$1,782.52	$2,854.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.24 / $2,238.62 / $2,238.62	Professional		$1,684.24	$2,238.62	$2,238.62
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 $1,186.58 / $1,356.61 / $3,720.06	Professional		$1,186.58	$1,356.61	$3,720.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,418.20 / $3,591.60	Professional		$6.00	$1,418.20	$3,591.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.03 / $1,798.25 / $2,879.08	Professional		$1,353.03	$1,798.25	$2,879.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,393.25 / $1,393.25 / $1,441.69	Facility		$1,393.25	$1,393.25	$1,441.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,347.38 / $1,402.99 / $1,465.76	Professional		$1,347.38	$1,402.99	$1,465.76
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 $1,280.02 / $1,742.59 / $2,812.99	Professional		$1,280.02	$1,742.59	$2,812.99