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 $1,502.13 / $1,755.74 / $2,299.65	Professional		$1,502.13	$1,755.74	$2,299.65
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 $1,721.79 / $2,678.61 / $3,193.64	Professional		$1,721.79	$2,678.61	$3,193.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.57 / $2,253.71 / $3,494.70	Professional		$1,667.57	$2,253.71	$3,494.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.94 / $2,708.58 / $2,719.62	Professional		$2,041.94	$2,708.58	$2,719.62
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 $1,502.13 / $1,855.26 / $4,595.39	Professional		$1,502.13	$1,855.26	$4,595.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $4,453.39	Professional		$6.00	$6.00	$4,453.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.47 / $2,272.46 / $3,951.64	Professional		$1,722.47	$2,272.46	$3,951.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,700.41 / $1,700.41 / $1,855.35	Facility		$1,700.41	$1,700.41	$1,855.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,654.36 / $1,702.67 / $1,855.35	Professional		$1,654.36	$1,702.67	$1,855.35
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 $1,547.42 / $2,216.06 / $3,612.83	Professional		$1,547.42	$2,216.06	$3,612.83