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 $1,167.88 / $1,343.73 / $1,849.38	Professional		$1,167.88	$1,343.73	$1,849.38
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 $1,212.95 / $1,427.00 / $1,427.00	Professional		$1,212.95	$1,427.00	$1,427.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.71 / $1,751.32 / $2,874.69	Professional		$1,314.71	$1,751.32	$2,874.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.68 / $2,326.73 / $2,326.73	Professional		$1,719.68	$2,326.73	$2,326.73
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 $1,167.88 / $1,400.90 / $5,958.00	Professional		$1,167.88	$1,400.90	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,689.00 / $3,425.00	Professional		$15.00	$1,689.00	$3,425.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.91 / $1,751.32 / $2,902.47	Professional		$1,327.91	$1,751.32	$2,902.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,263.55 / $1,337.07 / $1,337.07	Facility		$1,263.55	$1,337.07	$1,337.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $1,337.07 / $1,420.97	Professional		$1,263.55	$1,337.07	$1,420.97
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 $1,373.75 / $1,812.15 / $2,895.22	Professional		$1,373.75	$1,812.15	$2,895.22