Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.70 / $1,616.15 / $2,021.20	Professional		$1,405.70	$1,616.15	$2,021.20
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 $1,449.41 / $1,504.11 / $2,889.82	Professional		$1,449.41	$1,504.11	$2,889.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.66 / $1,870.83 / $2,927.43	Professional		$1,430.66	$1,870.83	$2,927.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,227.29 / $2,227.29 / $2,335.77	Professional		$2,227.29	$2,227.29	$2,335.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,361.65 / $1,744.41 / $5,958.00	Professional		$1,361.65	$1,744.41	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,615.10 / $3,613.50	Professional		$20.00	$2,615.10	$3,613.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.19 / $1,893.83 / $2,927.43	Professional		$1,467.19	$1,893.83	$2,927.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,417.10 / $1,417.10 / $1,727.18	Facility		$1,417.10	$1,417.10	$1,727.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.64 / $1,441.41 / $1,727.18	Professional		$1,356.64	$1,441.41	$1,727.18
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 $1,376.92 / $1,815.31 / $2,902.72	Professional		$1,376.92	$1,815.31	$2,902.72