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 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.22 / $1,435.35 / $1,959.23	Professional		$1,236.22	$1,435.35	$1,959.23
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 $1,283.38 / $2,046.27 / $2,723.86	Professional		$1,283.38	$2,046.27	$2,723.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.12 / $1,853.01 / $3,043.85	Professional		$1,405.12	$1,853.01	$3,043.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.44 / $2,462.15 / $2,462.15	Professional		$1,819.44	$2,462.15	$2,462.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,402.99 / $8,247.00	Facility		$832.00	$4,402.99	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,236.22 / $1,482.49 / $5,958.00	Professional		$1,236.22	$1,482.49	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,591.00 / $3,620.50	Professional		$11.00	$1,591.00	$3,620.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.12 / $1,853.01 / $3,089.91	Professional		$1,405.12	$1,853.01	$3,089.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,221.74 / $1,415.74 / $1,415.74	Facility		$1,221.74	$1,415.74	$1,415.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,221.74 / $1,415.74 / $1,504.05	Professional		$1,221.74	$1,415.74	$1,504.05
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 $1,454.37 / $1,940.85 / $2,879.17	Professional		$1,454.37	$1,940.85	$2,879.17