Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.85 / $5,254.00 / $10,398.00	Facility		$1,369.85	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.19 / $1,214.29 / $1,594.46	Professional		$1,130.19	$1,214.29	$1,594.46
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 $1,088.49 / $1,695.16 / $2,275.21	Professional		$1,088.49	$1,695.16	$2,275.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.42 / $1,572.09 / $2,580.35	Professional		$1,160.42	$1,572.09	$2,580.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.92 / $1,964.67 / $1,992.71	Professional		$1,480.92	$1,964.67	$1,992.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,369.85 / $5,511.00 / $11,083.00	Facility		$1,369.85	$5,511.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,130.19 / $1,300.31 / $6,513.64	Professional		$1,130.19	$1,300.31	$6,513.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,251.80 / $3,338.30	Professional		$5.00	$1,251.80	$3,338.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.42 / $1,619.24 / $2,611.41	Professional		$1,201.42	$1,619.24	$2,611.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.03 / $1,232.03 / $1,274.83	Facility		$1,232.03	$1,232.03	$1,274.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,205.53 / $1,232.03 / $1,316.12	Professional		$1,205.53	$1,232.03	$1,316.12
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 $1,065.44 / $1,443.56 / $2,567.53	Professional		$1,065.44	$1,443.56	$2,567.53