Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.64 / $4,223.00 / $8,451.00	Facility		$1,242.64	$4,223.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.24 / $1,348.16 / $1,808.80	Professional		$1,091.24	$1,348.16	$1,808.80
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 $1,488.35 / $1,544.51 / $2,506.14	Professional		$1,488.35	$1,544.51	$2,506.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.97 / $1,600.42 / $2,520.80	Professional		$1,132.97	$1,600.42	$2,520.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,795.91 / $2,388.42 / $2,396.34	Professional		$1,795.91	$2,388.42	$2,396.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $9,617.00	Facility		$1,151.00	$4,993.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,091.24 / $1,444.87 / $3,999.57	Professional		$1,091.24	$1,444.87	$3,999.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,264.00 / $3,928.10	Professional		$5.00	$1,264.00	$3,928.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.41 / $1,658.01 / $2,719.13	Professional		$1,178.41	$1,658.01	$2,719.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.44 / $1,149.85 / $1,466.03	Facility		$1,104.44	$1,149.85	$1,466.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,115.07 / $1,217.15 / $1,565.18	Professional		$1,115.07	$1,217.15	$1,565.18
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 $1,253.86 / $1,791.25 / $2,926.56	Professional		$1,253.86	$1,791.25	$2,926.56