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 $1,093.75 / $1,240.23 / $1,731.88	Professional		$1,093.75	$1,240.23	$1,731.88
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 $1,286.71 / $1,335.27 / $1,335.27	Professional		$1,286.71	$1,335.27	$1,335.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.88 / $1,638.74 / $2,691.81	Professional		$1,213.88	$1,638.74	$2,691.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.18 / $2,177.33 / $2,177.33	Professional		$1,609.18	$2,177.33	$2,177.33
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 $1,093.75 / $1,312.90 / $3,227.47	Professional		$1,093.75	$1,312.90	$3,227.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,287.00 / $3,207.00	Professional		$9.00	$1,287.00	$3,207.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.33 / $1,635.65 / $2,714.05	Professional		$1,243.33	$1,635.65	$2,714.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,119.57 / $1,252.00 / $1,252.00	Facility		$1,119.57	$1,252.00	$1,252.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,119.57 / $1,252.00 / $1,330.51	Professional		$1,119.57	$1,252.00	$1,330.51
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 $1,190.74 / $1,606.45 / $2,537.37	Professional		$1,190.74	$1,606.45	$2,537.37