Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.82 / $5,254.00 / $10,398.00	Facility		$1,105.82	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.24 / $1,174.80 / $1,738.28	Professional		$1,030.24	$1,174.80	$1,738.28
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 $1,236.52 / $1,283.18 / $1,980.13	Professional		$1,236.52	$1,283.18	$1,980.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.79 / $1,602.16 / $2,489.44	Professional		$1,181.79	$1,602.16	$2,489.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.71 / $1,939.31 / $1,939.31	Professional		$1,458.71	$1,939.31	$1,939.31
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 $1,030.24 / $1,282.51 / $3,233.74	Professional		$1,030.24	$1,282.51	$3,233.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,165.59 / $3,116.20	Professional		$6.00	$1,165.59	$3,116.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.77 / $1,618.50 / $2,710.61	Professional		$1,185.77	$1,618.50	$2,710.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,219.32 / $1,219.32 / $1,358.06	Facility		$1,219.32	$1,219.32	$1,358.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,177.36 / $1,230.19 / $1,358.06	Professional		$1,177.36	$1,230.19	$1,358.06
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 $1,178.19 / $1,564.35 / $2,530.12	Professional		$1,178.19	$1,564.35	$2,530.12