Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $4,761.00 / $8,451.00	Facility		$1,384.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.11 / $1,708.60 / $2,224.44	Professional		$1,482.11	$1,708.60	$2,224.44
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 $1,659.01 / $2,604.81 / $3,113.86	Professional		$1,659.01	$2,604.81	$3,113.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.71 / $2,194.03 / $3,417.05	Professional		$1,613.71	$2,194.03	$3,417.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.83 / $2,620.86 / $2,642.13	Professional		$1,975.83	$2,620.86	$2,642.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,993.00 / $9,617.00	Facility		$1,020.00	$4,993.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,482.11 / $1,742.11 / $5,958.00	Professional		$1,482.11	$1,742.11	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $4,379.60	Professional		$6.00	$6.00	$4,379.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.12 / $2,218.04 / $3,854.24	Professional		$1,671.12	$2,218.04	$3,854.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,648.80 / $1,648.80 / $1,809.01	Facility		$1,648.80	$1,648.80	$1,809.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,607.71 / $1,648.80 / $1,809.01	Professional		$1,607.71	$1,648.80	$1,809.01
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 $1,504.16 / $2,089.11 / $3,345.09	Professional		$1,504.16	$2,089.11	$3,345.09