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 $1,052.38 / $1,208.54 / $1,665.21	Professional		$1,052.38	$1,208.54	$1,665.21
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 $1,242.06 / $1,288.93 / $1,288.93	Professional		$1,242.06	$1,288.93	$1,288.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.75 / $1,581.87 / $2,592.35	Professional		$1,171.75	$1,581.87	$2,592.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.16 / $2,100.12 / $2,100.12	Professional		$1,553.16	$2,100.12	$2,100.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,052.85 / $1,263.44 / $5,958.00	Professional		$1,052.85	$1,263.44	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,298.40 / $3,098.60	Professional		$9.00	$1,298.40	$3,098.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.11 / $1,581.87 / $2,607.41	Professional		$1,198.11	$1,581.87	$2,607.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,205.75 / $1,205.75 / $1,564.98	Facility		$1,205.75	$1,205.75	$1,564.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,149.51 / $1,231.04 / $1,564.98	Professional		$1,149.51	$1,231.04	$1,564.98
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.20 / $1,699.04 / $2,435.02	Professional		$1,226.20	$1,699.04	$2,435.02