Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $4,304.00 / $8,240.00	Facility		$1,416.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.73 / $1,436.74 / $1,864.87	Professional		$1,248.73	$1,436.74	$1,864.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,388.94 / $1,441.35 / $1,441.35	Professional		$1,388.94	$1,441.35	$1,441.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.45 / $1,837.86 / $2,890.47	Professional		$1,352.45	$1,837.86	$2,890.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.75 / $2,199.03 / $2,220.65	Professional		$1,657.75	$2,199.03	$2,220.65
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 $1,286.00 / $1,486.16 / $5,100.00	Professional		$1,286.00	$1,486.16	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,786.40 / $3,701.00	Professional		$6.00	$1,786.40	$3,701.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.66 / $1,870.71 / $3,232.40	Professional		$1,398.66	$1,870.71	$3,232.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,383.89 / $1,383.89 / $1,425.06	Facility		$1,383.89	$1,383.89	$1,425.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,350.83 / $1,383.89 / $1,471.92	Professional		$1,350.83	$1,383.89	$1,471.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.03 / $1,750.01 / $2,781.35	Professional		$1,248.03	$1,750.01	$2,781.35