Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,483.62 / $3,746.41	Professional		$2,219.13	$2,483.62	$3,746.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,430.44 / $2,522.16 / $2,522.16	Professional		$2,430.44	$2,522.16	$2,522.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,350.00 / $3,060.90 / $4,948.16	Professional		$2,350.00	$3,060.90	$4,948.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.60 / $3,811.37 / $4,897.85	Professional		$2,835.60	$3,811.37	$4,897.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,409.02 / $13,409.02 / $13,409.02	Facility		$13,409.02	$13,409.02	$13,409.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,219.13 / $2,592.69 / $7,526.33	Professional		$2,219.13	$2,592.69	$7,526.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,322.50 / $3,322.50 / $5,114.60	Professional		$3,322.50	$3,322.50	$5,114.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,350.00 / $3,095.38 / $5,219.96	Professional		$2,350.00	$3,095.38	$5,219.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,405.51 / $2,405.51 / $3,187.40	Facility		$2,405.51	$2,405.51	$3,187.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,330.48 / $2,418.98 / $3,187.40	Professional		$2,330.48	$2,418.98	$3,187.40
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 $2,312.34 / $3,033.07 / $4,930.18	Professional		$2,312.34	$3,033.07	$4,930.18