Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $5,254.00 / $10,527.00	Facility		$1,462.00	$5,254.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.71 / $1,531.42 / $2,593.05	Professional		$1,402.71	$1,531.42	$2,593.05
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 $1,349.60 / $2,093.91 / $2,861.57	Professional		$1,349.60	$2,093.91	$2,861.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.75 / $1,968.12 / $3,201.53	Professional		$1,445.75	$1,968.12	$3,201.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,834.98 / $2,434.15 / $2,468.86	Professional		$1,834.98	$2,434.15	$2,468.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,511.00 / $11,182.00	Facility		$1,426.00	$5,511.00	$11,182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,402.71 / $1,716.13 / $5,047.87	Professional		$1,402.71	$1,716.13	$5,047.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,508.00 / $4,139.60	Professional		$5.00	$1,508.00	$4,139.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.72 / $2,008.09 / $3,271.79	Professional		$1,489.72	$2,008.09	$3,271.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,321.20 / $1,528.44 / $1,528.44	Facility		$1,321.20	$1,528.44	$1,528.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,321.20 / $1,528.44 / $1,632.24	Professional		$1,321.20	$1,528.44	$1,632.24
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 $1,284.33 / $1,876.25 / $2,983.24	Professional		$1,284.33	$1,876.25	$2,983.24