Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $4,761.00 / $8,451.00	Facility		$1,426.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.09 / $1,834.73 / $2,392.06	Professional		$1,674.09	$1,834.73	$2,392.06
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 $1,630.25 / $2,614.84 / $3,521.87	Professional		$1,630.25	$2,614.84	$3,521.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.85 / $2,414.78 / $3,772.27	Professional		$1,762.85	$2,414.78	$3,772.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.48 / $2,902.94 / $2,910.99	Professional		$2,188.48	$2,902.94	$2,910.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,621.00 / $1,915.90 / $5,958.00	Professional		$1,621.00	$1,915.90	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,070.30 / $4,800.10	Professional		$5.00	$2,070.30	$4,800.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.85 / $2,419.23 / $3,930.70	Professional		$1,799.85	$2,419.23	$3,930.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,609.70 / $1,835.70 / $1,835.70	Facility		$1,609.70	$1,835.70	$1,835.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,609.70 / $1,835.70 / $1,939.88	Professional		$1,609.70	$1,835.70	$1,939.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $19,040.18	Facility		$2,468.00	$6,885.00	$19,040.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.88 / $2,306.31 / $3,694.19	Professional		$1,630.88	$2,306.31	$3,694.19