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 $1,311.40 / $1,523.92 / $2,077.98	Professional		$1,311.40	$1,523.92	$2,077.98
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 $1,542.20 / $1,600.40 / $1,600.40	Professional		$1,542.20	$1,600.40	$1,600.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.13 / $1,964.13 / $3,227.47	Professional		$1,490.13	$1,964.13	$3,227.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.68 / $2,610.35 / $2,610.35	Professional		$1,928.68	$2,610.35	$2,610.35
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 $1,311.40 / $1,572.41 / $3,868.13	Professional		$1,311.40	$1,572.41	$3,868.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,691.20 / $3,837.80	Professional		$11.00	$1,691.20	$3,837.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.13 / $1,964.13 / $3,255.24	Professional		$1,490.13	$1,964.13	$3,255.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,501.15 / $1,501.15 / $1,703.09	Facility		$1,501.15	$1,501.15	$1,703.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,427.01 / $1,535.97 / $1,703.09	Professional		$1,427.01	$1,535.97	$1,703.09
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 $1,531.25 / $2,037.59 / $3,050.98	Professional		$1,531.25	$2,037.59	$3,050.98