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 $1,258.81 / $1,445.77 / $2,153.81	Professional		$1,258.81	$1,445.77	$2,153.81
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 $1,430.85 / $1,484.85 / $1,484.85	Professional		$1,430.85	$1,484.85	$1,484.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.80 / $1,891.51 / $3,019.80	Professional		$1,387.80	$1,891.51	$3,019.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.25 / $2,329.16 / $2,329.16	Professional		$1,737.25	$2,329.16	$2,329.16
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 $1,265.77 / $1,497.80 / $3,556.59	Professional		$1,265.77	$1,497.80	$3,556.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,730.50 / $3,571.40	Professional		$11.00	$1,730.50	$3,571.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.66 / $1,879.47 / $3,141.38	Professional		$1,390.66	$1,879.47	$3,141.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,404.56 / $1,404.56 / $1,466.12	Facility		$1,404.56	$1,404.56	$1,466.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,347.62 / $1,425.63 / $1,483.85	Professional		$1,347.62	$1,425.63	$1,483.85
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 $1,421.83 / $1,889.91 / $2,858.94	Professional		$1,421.83	$1,889.91	$2,858.94