Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.08 / $4,761.00 / $8,451.00	Facility		$1,248.08	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.60 / $1,135.96 / $1,484.49	Professional		$1,040.60	$1,135.96	$1,484.49
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 $1,010.88 / $1,648.84 / $2,180.94	Professional		$1,010.88	$1,648.84	$2,180.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.74 / $1,491.60 / $2,350.98	Professional		$1,079.74	$1,491.60	$2,350.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.49 / $1,804.58 / $1,814.07	Professional		$1,360.49	$1,804.58	$1,814.07
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 $1,040.60 / $1,212.52 / $5,958.00	Professional		$1,040.60	$1,212.52	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,342.20 / $3,001.70	Professional		$5.00	$1,342.20	$3,001.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.54 / $1,495.21 / $2,513.94	Professional		$1,117.54	$1,495.21	$2,513.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,140.77 / $1,140.77 / $1,222.80	Facility		$1,140.77	$1,140.77	$1,222.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,110.66 / $1,141.45 / $1,222.80	Professional		$1,110.66	$1,141.45	$1,222.80
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 $1,015.07 / $1,362.42 / $2,389.26	Professional		$1,015.07	$1,362.42	$2,389.26