Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,964.76 / $7,001.33 / $7,001.33	Professional		$1,964.76	$7,001.33	$7,001.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,343.65 / $1,455.12 / $2,471.86	Professional		$1,343.65	$1,455.12	$2,471.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $3,322.98 / $4,184.68	Professional		$1,549.35	$3,322.98	$4,184.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.14 / $2,148.87 / $2,734.52	Professional		$1,583.14	$2,148.87	$2,734.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,834.91 / $2,297.03 / $7,001.33	Professional		$1,834.91	$2,297.03	$7,001.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.20 / $1,704.20 / $2,736.10	Professional		$1,704.20	$1,704.20	$2,736.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $3,322.98 / $4,184.68	Professional		$1,549.35	$3,322.98	$4,184.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,310.13 / $1,310.13 / $1,566.16	Facility		$1,310.13	$1,310.13	$1,566.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,266.51 / $1,320.04 / $1,566.16	Professional		$1,266.51	$1,320.04	$1,566.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.63 / $1,578.47 / $2,723.54	Professional		$1,262.63	$1,578.47	$2,723.54