Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.63 / $4,304.00 / $8,240.00	Facility		$1,353.63	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.03 / $1,353.63 / $1,880.50	Professional		$1,082.03	$1,353.63	$1,880.50
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 $1,226.60 / $1,272.90 / $2,090.02	Professional		$1,226.60	$1,272.90	$2,090.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.65 / $1,266.94 / $2,101.88	Professional		$976.65	$1,266.94	$2,101.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.01 / $1,488.01 / $1,918.82	Professional		$1,488.01	$1,488.01	$1,918.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,426.00 / $6,597.65	Professional		$1,055.19	$1,426.00	$6,597.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.70 / $1,223.70 / $1,223.70	Professional		$1,223.70	$1,223.70	$1,223.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.48 / $1,314.60 / $2,101.88	Professional		$1,005.48	$1,314.60	$2,101.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,132.38 / $1,229.64 / $1,229.64	Facility		$1,132.38	$1,229.64	$1,229.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,132.38 / $1,229.64 / $1,310.66	Professional		$1,132.38	$1,229.64	$1,310.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.97 / $1,365.25 / $2,450.46	Professional		$1,054.97	$1,365.25	$2,450.46