Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $4,304.00 / $8,240.00	Facility		$1,416.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.57 / $1,554.08 / $2,174.98	Professional		$1,364.57	$1,554.08	$2,174.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,773.45 / $1,840.38 / $1,840.38	Professional		$1,773.45	$1,840.38	$1,840.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,451.95 / $1,858.18 / $3,315.80	Professional		$1,451.95	$1,858.18	$3,315.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,118.89 / $2,724.29 / $2,819.69	Professional		$2,118.89	$2,724.29	$2,819.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,418.96 / $1,685.28 / $6,862.00	Professional		$1,418.96	$1,685.28	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.80 / $1,842.80 / $1,932.00	Professional		$1,842.80	$1,842.80	$1,932.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,001.44 / $2,001.44 / $2,001.44	Facility		$2,001.44	$2,001.44	$2,001.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.01 / $1,924.03 / $3,473.15	Professional		$1,522.01	$1,924.03	$3,473.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,640.18 / $1,734.22 / $1,734.22	Facility		$1,640.18	$1,734.22	$1,734.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,640.18 / $1,734.22 / $1,833.81	Professional		$1,640.18	$1,734.22	$1,833.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,447.81 / $1,862.63 / $3,234.08	Professional		$1,447.81	$1,862.63	$3,234.08