Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.89 / $1,351.89 / $1,710.78	Facility		$1,351.89	$1,351.89	$1,710.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.55 / $1,603.07 / $2,349.40	Professional		$1,241.55	$1,603.07	$2,349.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,678.16 / $1,741.49 / $1,881.43	Professional		$1,678.16	$1,741.49	$1,881.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,281.71 / $2,281.71 / $2,281.71	Facility		$2,281.71	$2,281.71	$2,281.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.57 / $1,986.18 / $3,352.81	Professional		$1,387.57	$1,986.18	$3,352.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.78 / $2,598.33 / $3,386.81	Professional		$1,960.78	$2,598.33	$3,386.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,351.89 / $1,351.89 / $1,710.78	Facility		$1,351.89	$1,351.89	$1,710.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,303.72 / $1,705.85 / $5,081.01	Professional		$1,303.72	$1,705.85	$5,081.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.90 / $2,246.90 / $3,912.40	Professional		$2,246.90	$2,246.90	$3,912.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,281.71 / $2,281.71 / $2,281.71	Facility		$2,281.71	$2,281.71	$2,281.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.57 / $2,002.40 / $3,435.23	Professional		$1,387.57	$2,002.40	$3,435.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,300.08 / $1,501.06 / $2,292.66	Facility		$1,300.08	$1,501.06	$2,292.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,300.08 / $1,582.70 / $1,710.80	Professional		$1,300.08	$1,582.70	$1,710.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.12 / $2,077.31 / $3,359.75	Professional		$1,640.12	$2,077.31	$3,359.75