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 $1,229.60 / $1,366.24 / $1,712.42	Professional		$1,229.60	$1,366.24	$1,712.42
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 $1,073.46 / $1,606.35 / $2,333.19	Professional		$1,073.46	$1,606.35	$2,333.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.29 / $1,642.00 / $2,528.75	Professional		$1,188.29	$1,642.00	$2,528.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,834.05 / $1,834.05 / $1,953.92	Professional		$1,834.05	$1,834.05	$1,953.92
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 $1,060.00 / $1,466.48 / $5,958.00	Professional		$1,060.00	$1,466.48	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,228.30 / $2,985.90	Professional		$8.00	$2,228.30	$2,985.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $1,650.05 / $2,560.42	Professional		$1,263.08	$1,650.05	$2,560.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,192.81 / $1,192.81 / $1,285.65	Facility		$1,192.81	$1,192.81	$1,285.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,134.75 / $1,216.67 / $1,285.65	Professional		$1,134.75	$1,216.67	$1,285.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.44 / $1,636.73 / $2,559.94	Professional		$1,211.44	$1,636.73	$2,559.94