Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,398.47 / $5,254.00 / $10,398.00	Facility		$1,398.47	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,241.33 / $1,629.51	Professional		$1,154.42	$1,241.33	$1,629.51
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 $1,112.58 / $1,741.93 / $2,358.52	Professional		$1,112.58	$1,741.93	$2,358.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.83 / $1,632.87 / $2,634.26	Professional		$1,198.83	$1,632.87	$2,634.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.02 / $2,007.29 / $2,034.73	Professional		$1,513.02	$2,007.29	$2,034.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,398.47 / $5,511.00 / $11,083.00	Facility		$1,398.47	$5,511.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,154.42 / $1,327.79 / $6,653.38	Professional		$1,154.42	$1,327.79	$6,653.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,298.50 / $3,405.80	Professional		$5.00	$1,298.50	$3,405.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.32 / $1,654.89 / $2,728.62	Professional		$1,227.32	$1,654.89	$2,728.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.70 / $1,258.70 / $1,385.91	Facility		$1,258.70	$1,258.70	$1,385.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,231.27 / $1,258.70 / $1,385.91	Professional		$1,231.27	$1,258.70	$1,385.91
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 $1,058.69 / $1,479.09 / $2,459.10	Professional		$1,058.69	$1,479.09	$2,459.10