Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.38 / $5,254.00 / $10,398.00	Facility		$1,295.38	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,209.21 / $1,542.33	Professional		$1,077.08	$1,209.21	$1,542.33
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 $1,069.14 / $1,704.48 / $2,285.32	Professional		$1,069.14	$1,704.48	$2,285.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.24 / $1,566.87 / $2,468.71	Professional		$1,170.24	$1,566.87	$2,468.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.32 / $1,864.30 / $1,870.25	Professional		$1,409.32	$1,864.30	$1,870.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,526.00 / $11,083.00	Facility		$1,301.00	$5,526.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $1,295.38 / $6,399.35	Professional		$1,077.08	$1,295.38	$6,399.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,084.10 / $3,007.80	Professional		$7.00	$2,084.10	$3,007.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.56 / $1,581.58 / $2,535.61	Professional		$1,188.56	$1,581.58	$2,535.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,042.70 / $1,079.05 / $1,179.27	Facility		$1,042.70	$1,079.05	$1,179.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,042.70 / $1,179.27 / $1,232.72	Professional		$1,042.70	$1,179.27	$1,232.72
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.01 / $1,503.12 / $2,461.39	Professional		$1,178.01	$1,503.12	$2,461.39