Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.53 / $4,761.00 / $8,451.00	Facility		$1,390.53	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.08 / $1,302.47 / $1,689.26	Professional		$1,097.08	$1,302.47	$1,689.26
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 $1,261.69 / $1,309.30 / $1,309.30	Professional		$1,261.69	$1,309.30	$1,309.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.53 / $1,588.61 / $2,512.21	Professional		$1,103.53	$1,588.61	$2,512.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.01 / $2,006.06 / $2,031.13	Professional		$1,512.01	$2,006.06	$2,031.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,097.08 / $1,361.18 / $5,958.00	Professional		$1,097.08	$1,361.18	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,360.50 / $3,381.40	Professional		$6.00	$1,360.50	$3,381.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.21 / $1,625.11 / $2,619.31	Professional		$1,201.21	$1,625.11	$2,619.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,128.33 / $1,255.76 / $1,255.76	Facility		$1,128.33	$1,255.76	$1,255.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,128.33 / $1,255.76 / $1,339.62	Professional		$1,128.33	$1,255.76	$1,339.62
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 $1,072.14 / $1,547.35 / $2,596.84	Professional		$1,072.14	$1,547.35	$2,596.84