Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,264.00 / $8,240.00	Facility		$1,301.00	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.41 / $1,233.83 / $1,600.82	Professional		$1,045.41	$1,233.83	$1,600.82
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 $1,048.63 / $1,630.02 / $2,137.71	Professional		$1,048.63	$1,630.02	$2,137.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.85 / $1,487.28 / $2,371.65	Professional		$1,056.85	$1,487.28	$2,371.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.27 / $1,882.68 / $1,901.70	Professional		$1,419.27	$1,882.68	$1,901.70
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 $1,045.41 / $1,286.00 / $5,100.00	Professional		$1,045.41	$1,286.00	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,226.30 / $3,180.90	Professional		$5.00	$1,226.30	$3,180.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.86 / $1,531.02 / $2,473.87	Professional		$1,161.86	$1,531.02	$2,473.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,188.25 / $1,188.25 / $1,231.18	Facility		$1,188.25	$1,188.25	$1,231.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,160.88 / $1,188.25 / $1,264.25	Professional		$1,160.88	$1,188.25	$1,264.25
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 $959.01 / $1,431.35 / $2,472.09	Professional		$959.01	$1,431.35	$2,472.09