Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.57 / $4,989.00 / $9,534.00	Facility		$1,215.57	$4,989.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.31 / $1,136.56 / $1,448.09	Professional		$1,011.31	$1,136.56	$1,448.09
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 $1,138.83 / $1,181.81 / $1,181.81	Professional		$1,138.83	$1,181.81	$1,181.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.75 / $1,471.56 / $2,319.03	Professional		$1,099.75	$1,471.56	$2,319.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.59 / $1,750.88 / $1,755.78	Professional		$1,323.59	$1,750.88	$1,755.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,298.00 / $5,342.00 / $9,830.00	Facility		$1,298.00	$5,342.00	$9,830.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,011.31 / $1,215.57 / $5,958.00	Professional		$1,011.31	$1,215.57	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,454.80 / $2,821.30	Professional		$7.00	$1,454.80	$2,821.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.78 / $1,486.32 / $2,402.86	Professional		$1,110.78	$1,486.32	$2,402.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,107.15 / $1,107.15 / $1,370.66	Facility		$1,107.15	$1,107.15	$1,370.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,073.03 / $1,113.17 / $1,370.66	Professional		$1,073.03	$1,113.17	$1,370.66
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 $1,117.39 / $1,418.26 / $2,415.62	Professional		$1,117.39	$1,418.26	$2,415.62