Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.15 / $3,839.00 / $8,451.00	Facility		$1,247.15	$3,839.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.52 / $1,177.24 / $1,538.17	Professional		$1,025.52	$1,177.24	$1,538.17
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 $1,055.25 / $1,095.07 / $1,095.07	Professional		$1,055.25	$1,095.07	$1,095.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.53 / $1,342.71 / $2,104.76	Professional		$1,022.53	$1,342.71	$2,104.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.69 / $1,621.69 / $1,699.80	Professional		$1,621.69	$1,621.69	$1,699.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,264.00 / $8,427.00	Facility		$1,013.00	$4,264.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,025.52 / $1,254.19 / $2,843.00	Professional		$1,025.52	$1,254.19	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,867.10 / $2,598.90	Professional		$15.00	$1,867.10	$2,598.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,343.95 / $2,104.76	Professional		$1,054.00	$1,343.95	$2,104.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,033.61 / $1,033.61 / $1,352.55	Facility		$1,033.61	$1,033.61	$1,352.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $989.50 / $1,051.35 / $1,352.55	Professional		$989.50	$1,051.35	$1,352.55
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.78 / $1,294.14 / $2,084.69	Professional		$1,020.78	$1,294.14	$2,084.69