Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $3,748.00 / $8,017.00	Facility		$1,084.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.93 / $1,917.83 / $2,405.46	Professional		$1,512.93	$1,917.83	$2,405.46
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 $1,516.93 / $2,733.97 / $3,359.37	Professional		$1,516.93	$2,733.97	$3,359.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.86 / $2,277.17 / $3,656.56	Professional		$1,661.86	$2,277.17	$3,656.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.03 / $2,643.03 / $2,781.17	Professional		$2,643.03	$2,643.03	$2,781.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,474.77 / $2,064.66 / $6,187.13	Professional		$1,474.77	$2,064.66	$6,187.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,059.80 / $4,307.70	Professional		$10.00	$2,059.80	$4,307.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.89 / $2,277.17 / $3,618.11	Professional		$1,767.89	$2,277.17	$3,618.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,538.50 / $1,685.05 / $1,685.05	Facility		$1,538.50	$1,685.05	$1,685.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,538.50 / $1,685.05 / $1,769.90	Professional		$1,538.50	$1,685.05	$1,769.90
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 $1,695.89 / $2,189.59 / $3,469.53	Professional		$1,695.89	$2,189.59	$3,469.53