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 $1,092.15 / $1,366.25 / $2,022.16	Professional		$1,092.15	$1,366.25	$2,022.16
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 $1,325.78 / $1,930.92 / $2,546.48	Professional		$1,325.78	$1,930.92	$2,546.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.63 / $1,785.10 / $2,998.03	Professional		$1,232.63	$1,785.10	$2,998.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.46 / $2,542.48 / $2,542.48	Professional		$1,879.46	$2,542.48	$2,542.48
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 $1,092.15 / $1,533.65 / $3,772.78	Professional		$1,092.15	$1,533.65	$3,772.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,491.60 / $3,752.00	Professional		$11.00	$1,491.60	$3,752.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.63 / $1,785.10 / $2,998.03	Professional		$1,232.63	$1,785.10	$2,998.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,429.83 / $1,462.45 / $1,462.45	Facility		$1,429.83	$1,462.45	$1,462.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,391.73 / $1,462.45 / $1,554.68	Professional		$1,391.73	$1,462.45	$1,554.68
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 $1,332.53 / $1,977.03 / $3,122.35	Professional		$1,332.53	$1,977.03	$3,122.35