Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.83 / $4,264.00 / $8,240.00	Facility		$1,268.83	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.97 / $1,245.96 / $1,546.62	Professional		$1,091.97	$1,245.96	$1,546.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,013.04 / $1,659.79 / $2,717.93	Professional		$1,013.04	$1,659.79	$2,717.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.07 / $1,555.18 / $2,687.62	Professional		$1,122.07	$1,555.18	$2,687.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.47 / $1,820.78 / $1,839.63	Professional		$1,372.47	$1,820.78	$1,839.63
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 $1,091.97 / $1,327.87 / $4,831.00	Professional		$1,091.97	$1,327.87	$4,831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,122.30 / $3,361.10	Professional		$5.00	$1,122.30	$3,361.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.63 / $1,555.18 / $2,692.97	Professional		$1,137.63	$1,555.18	$2,692.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $946.47 / $1,148.34 / $1,148.34	Facility		$946.47	$1,148.34	$1,148.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $946.47 / $1,148.34 / $1,222.57	Professional		$946.47	$1,148.34	$1,222.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,467.05 / $2,386.66	Professional		$992.66	$1,467.05	$2,386.66