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 $1,046.41 / $1,180.02 / $1,925.27	Professional		$1,046.41	$1,180.02	$1,925.27
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 $1,264.24 / $1,311.95 / $1,907.64	Professional		$1,264.24	$1,311.95	$1,907.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.23 / $1,610.11 / $2,644.85	Professional		$1,208.23	$1,610.11	$2,644.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,580.79 / $2,138.67 / $2,138.67	Professional		$1,580.79	$2,138.67	$2,138.67
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 $1,028.32 / $1,289.14 / $3,828.74	Professional		$1,028.32	$1,289.14	$3,828.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $1,360.20 / $3,152.10	Professional		$9.00	$1,360.20	$3,152.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.50 / $1,605.53 / $2,666.98	Professional		$1,221.50	$1,605.53	$2,666.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,127.74 / $1,230.16 / $1,230.16	Facility		$1,127.74	$1,230.16	$1,230.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,127.74 / $1,230.16 / $1,307.40	Professional		$1,127.74	$1,230.16	$1,307.40
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 $1,173.92 / $1,565.70 / $2,262.48	Professional		$1,173.92	$1,565.70	$2,262.48