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 $1,260.76 / $1,392.39 / $1,893.27	Professional		$1,260.76	$1,392.39	$1,893.27
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 $1,393.38 / $1,445.96 / $1,445.96	Professional		$1,393.38	$1,445.96	$1,445.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.08 / $1,787.73 / $2,971.64	Professional		$1,276.08	$1,787.73	$2,971.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.61 / $2,175.98 / $2,175.98	Professional		$1,640.61	$2,175.98	$2,175.98
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 $1,260.76 / $1,406.57 / $3,660.76	Professional		$1,260.76	$1,406.57	$3,660.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,651.90 / $3,530.90	Professional		$12.00	$1,651.90	$3,530.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.83 / $1,788.65 / $2,971.64	Professional		$1,354.83	$1,788.65	$2,971.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,369.42 / $1,369.42 / $1,497.39	Facility		$1,369.42	$1,369.42	$1,497.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,320.26 / $1,383.78 / $1,497.39	Professional		$1,320.26	$1,383.78	$1,497.39
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 $1,267.89 / $1,687.06 / $2,789.24	Professional		$1,267.89	$1,687.06	$2,789.24