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 / $10,398.00	Facility		$1,462.00	$5,254.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.87 / $1,478.62 / $1,926.02	Professional		$1,346.87	$1,478.62	$1,926.02
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 $1,312.54 / $2,135.07 / $2,883.06	Professional		$1,312.54	$2,135.07	$2,883.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.93 / $1,955.89 / $3,031.25	Professional		$1,433.93	$1,955.89	$3,031.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.92 / $2,334.44 / $2,338.34	Professional		$1,759.92	$2,334.44	$2,338.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,511.00 / $11,083.00	Facility		$1,426.00	$5,511.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,346.87 / $1,544.00 / $7,188.00	Professional		$1,346.87	$1,544.00	$7,188.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,811.60 / $3,851.50	Professional		$5.00	$1,811.60	$3,851.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.94 / $1,964.53 / $3,233.93	Professional		$1,448.94	$1,964.53	$3,233.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,477.18 / $1,477.18 / $1,593.81	Facility		$1,477.18	$1,477.18	$1,593.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,435.63 / $1,480.77 / $1,593.81	Professional		$1,435.63	$1,480.77	$1,593.81
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 $1,351.04 / $1,837.78 / $2,994.22	Professional		$1,351.04	$1,837.78	$2,994.22