Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.85 / $2,747.00 / $8,104.00	Facility		$1,040.85	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $978.36 / $1,416.10	Professional		$902.90	$978.36	$1,416.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,007.40 / $1,045.42 / $1,854.35	Professional		$1,007.40	$1,045.42	$1,854.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $1,137.59	Facility		$1,137.59	$1,137.59	$1,137.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.34 / $1,198.86 / $1,958.17	Professional		$866.34	$1,198.86	$1,958.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.80 / $1,611.60 / $2,051.66	Professional		$1,187.80	$1,611.60	$2,051.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.82 / $1,112.82 / $1,112.82	Professional		$1,112.82	$1,112.82	$1,112.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,264.00 / $8,427.00	Facility		$1,013.00	$4,264.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $902.90 / $1,040.85 / $2,843.00	Professional		$902.90	$1,040.85	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.20 / $1,048.20 / $2,060.80	Professional		$1,048.20	$1,048.20	$2,060.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $1,137.59	Facility		$1,137.59	$1,137.59	$1,137.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $867.68 / $1,235.50 / $1,978.81	Professional		$867.68	$1,235.50	$1,978.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $980.86 / $980.86 / $1,158.33	Facility		$980.86	$980.86	$1,158.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $948.64 / $987.83 / $1,158.33	Professional		$948.64	$987.83	$1,158.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.86 / $1,172.15 / $2,038.85	Professional		$865.86	$1,172.15	$2,038.85