Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,627.00 / $9,534.00	Facility		$1,068.00	$3,627.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.49 / $1,380.81 / $4,559.54	Professional		$1,171.49	$1,380.81	$4,559.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,498.01 / $1,554.54 / $1,554.54	Professional		$1,498.01	$1,554.54	$1,554.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.68 / $1,570.56 / $2,766.53	Professional		$1,246.68	$1,570.56	$2,766.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.46 / $2,312.31 / $2,400.23	Professional		$1,798.46	$2,312.31	$2,400.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,523.93 / $8,074.66 / $10,045.49	Facility		$3,523.93	$8,074.66	$10,045.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $875.55 / $3,838.00 / $8,017.00	Facility		$875.55	$3,838.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,563.08 / $5,744.00	Professional		$1,209.49	$1,563.08	$5,744.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.80 / $1,473.80 / $1,547.60	Professional		$1,473.80	$1,473.80	$1,547.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,686.21 / $1,686.21 / $1,686.21	Facility		$1,686.21	$1,686.21	$1,686.21
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,048.79 / $1,048.79 / $1,048.79	Facility	62	$1,048.79	$1,048.79	$1,048.79
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $161.29 / $161.29 / $161.29	Facility	AS	$161.29	$161.29	$161.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.89 / $1,625.20 / $2,895.93	Professional		$1,310.89	$1,625.20	$2,895.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,391.67 / $1,463.58 / $1,565.64	Facility		$1,391.67	$1,463.58	$1,565.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,391.67 / $1,477.34 / $1,565.64	Professional		$1,391.67	$1,477.34	$1,565.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.28 / $1,669.22 / $2,879.74	Professional		$1,301.28	$1,669.22	$2,879.74