Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.64 / $4,894.00 / $9,534.00	Facility		$1,171.64	$4,894.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.78 / $1,200.91 / $1,632.40	Professional		$1,061.78	$1,200.91	$1,632.40
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 $1,153.98 / $1,819.00 / $2,425.23	Professional		$1,153.98	$1,819.00	$2,425.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.27 / $1,699.70 / $2,637.62	Professional		$1,254.27	$1,699.70	$2,637.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.18 / $2,050.12 / $2,050.12	Professional		$1,542.18	$2,050.12	$2,050.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $10,247.00	Facility		$1,151.00	$5,350.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,314.60 / $3,424.94	Professional		$1,091.20	$1,314.60	$3,424.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,523.00 / $3,299.70	Professional		$6.00	$1,523.00	$3,299.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.69 / $1,708.23 / $2,895.99	Professional		$1,257.69	$1,708.23	$2,895.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,292.64 / $1,292.64 / $1,445.28	Facility		$1,292.64	$1,292.64	$1,445.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,247.24 / $1,304.61 / $1,445.28	Professional		$1,247.24	$1,304.61	$1,445.28
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 $1,241.08 / $1,655.87 / $2,661.93	Professional		$1,241.08	$1,655.87	$2,661.93