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 $942.64 / $1,070.33 / $1,450.04	Professional		$942.64	$1,070.33	$1,450.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,200.29 / $2,200.29 / $2,200.29	Professional		$2,200.29	$2,200.29	$2,200.29
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 $1,201.13 / $1,246.45 / $1,246.45	Professional		$1,201.13	$1,246.45	$1,246.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.14 / $1,481.46 / $2,376.96	Professional		$1,133.14	$1,481.46	$2,376.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,423.42 / $1,892.12 / $1,892.12	Professional		$1,423.42	$1,892.12	$1,892.12
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 $978.30 / $1,169.94 / $3,100.20	Professional		$978.30	$1,169.94	$3,100.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,407.80 / $2,953.30	Professional		$8.00	$1,407.80	$2,953.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.88 / $1,483.81 / $2,418.34	Professional		$1,141.88	$1,483.81	$2,418.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,150.08 / $1,150.08 / $1,291.00	Facility		$1,150.08	$1,150.08	$1,291.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,111.78 / $1,158.99 / $1,291.00	Professional		$1,111.78	$1,158.99	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.28 / $1,363.76 / $2,341.35	Professional		$1,065.28	$1,363.76	$2,341.35