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 / $8,289.53	Facility		$1,020.00	$3,839.00	$8,289.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.30 / $1,564.28 / $2,060.48	Professional		$1,341.30	$1,564.28	$2,060.48
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 $1,458.45 / $2,359.35 / $3,268.95	Professional		$1,458.45	$2,359.35	$3,268.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,559.84 / $2,143.09 / $3,333.70	Professional		$1,559.84	$2,143.09	$3,333.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.71 / $2,593.44 / $2,593.44	Professional		$1,950.71	$2,593.44	$2,593.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,289.53	Facility		$1,013.00	$4,761.00	$8,289.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,379.48 / $1,648.32 / $4,398.09	Professional		$1,379.48	$1,648.32	$4,398.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,728.80 / $4,174.00	Professional		$8.00	$1,728.80	$4,174.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.53 / $2,177.53 / $3,559.60	Professional		$1,575.53	$2,177.53	$3,559.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,474.75 / $1,632.35 / $1,632.35	Facility		$1,474.75	$1,632.35	$1,632.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,474.75 / $1,632.35 / $1,711.97	Professional		$1,474.75	$1,632.35	$1,711.97
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 $1,593.00 / $2,052.23 / $3,499.34	Professional		$1,593.00	$2,052.23	$3,499.34