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 $1,164.24 / $1,296.22 / $1,652.61	Professional		$1,164.24	$1,296.22	$1,652.61
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 $1,081.54 / $1,772.08 / $2,902.41	Professional		$1,081.54	$1,772.08	$2,902.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.34 / $1,602.60 / $2,870.05	Professional		$1,147.34	$1,602.60	$2,870.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.92 / $1,940.58 / $1,959.12	Professional		$1,462.92	$1,940.58	$1,959.12
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 $1,164.24 / $1,412.92 / $4,831.00	Professional		$1,164.24	$1,412.92	$4,831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,284.70 / $3,555.50	Professional		$5.00	$1,284.70	$3,555.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.48 / $1,656.35 / $2,873.95	Professional		$1,197.48	$1,656.35	$2,873.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,226.04 / $1,226.04 / $1,237.10	Facility		$1,226.04	$1,226.04	$1,237.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,196.46 / $1,226.04 / $1,303.88	Professional		$1,196.46	$1,226.04	$1,303.88
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 $1,018.01 / $1,463.26 / $2,397.42	Professional		$1,018.01	$1,463.26	$2,397.42