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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.17 / $1,378.44 / $3,490.27	Professional		$1,183.17	$1,378.44	$3,490.27
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 $1,390.94 / $1,443.43 / $2,256.54	Professional		$1,390.94	$1,443.43	$2,256.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.90 / $1,771.49 / $2,910.68	Professional		$1,343.90	$1,771.49	$2,910.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.38 / $2,353.92 / $2,353.92	Professional		$1,739.38	$2,353.92	$2,353.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,183.17 / $1,437.41 / $5,580.00	Professional		$1,183.17	$1,437.41	$5,580.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,603.80 / $3,464.10	Professional		$10.00	$1,603.80	$3,464.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.90 / $1,771.49 / $2,941.11	Professional		$1,343.90	$1,771.49	$2,941.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,353.81 / $1,353.81 / $1,406.19	Facility		$1,353.81	$1,353.81	$1,406.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,287.58 / $1,385.00 / $1,438.08	Professional		$1,287.58	$1,385.00	$1,438.08
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 $1,402.74 / $1,833.66 / $2,752.04	Professional		$1,402.74	$1,833.66	$2,752.04