Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.76 / $5,254.00 / $10,398.00	Facility		$1,037.76	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.76 / $1,171.09 / $1,678.92	Professional		$1,037.76	$1,171.09	$1,678.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,185.14 / $1,229.86 / $1,229.86	Professional		$1,185.14	$1,229.86	$1,229.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.79 / $1,548.57 / $2,413.42	Professional		$1,143.79	$1,548.57	$2,413.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.87 / $1,824.24 / $1,829.65	Professional		$1,378.87	$1,824.24	$1,829.65
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 $1,037.76 / $1,272.58 / $6,258.32	Professional		$1,037.76	$1,272.58	$6,258.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,816.90 / $2,939.90	Professional		$3.00	$1,816.90	$2,939.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.99 / $1,580.85 / $2,681.09	Professional		$1,151.99	$1,580.85	$2,681.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,151.75 / $1,151.75 / $1,647.55	Facility		$1,151.75	$1,151.75	$1,647.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,116.30 / $1,157.71 / $1,647.55	Professional		$1,116.30	$1,157.71	$1,647.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.56 / $1,462.00 / $2,394.48	Professional		$1,107.56	$1,462.00	$2,394.48