Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $3,830.00 / $8,240.00	Facility		$1,416.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,372.85 / $2,657.76 / $3,848.99	Professional		$2,372.85	$2,657.76	$3,848.99
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 $2,632.21 / $2,731.54 / $2,731.54	Professional		$2,632.21	$2,731.54	$2,731.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,532.66 / $3,230.14 / $5,301.05	Professional		$2,532.66	$3,230.14	$5,301.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.95 / $4,201.38 / $5,342.36	Professional		$3,092.95	$4,201.38	$5,342.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.77 / $2,684.77 / $2,684.77	Facility		$2,684.77	$2,684.77	$2,684.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,172.75 / $4,597.00 / $8,404.00	Facility		$1,172.75	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,235.98 / $2,728.06 / $6,862.00	Professional		$2,235.98	$2,728.06	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,224.70 / $3,224.70 / $5,370.50	Professional		$3,224.70	$3,224.70	$5,370.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,983.13 / $2,983.13 / $2,983.13	Facility		$2,983.13	$2,983.13	$2,983.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,532.66 / $3,300.78 / $5,532.35	Professional		$2,532.66	$3,300.78	$5,532.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,571.94 / $2,571.94 / $2,909.44	Facility		$2,571.94	$2,571.94	$2,909.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,482.33 / $2,595.29 / $2,909.44	Professional		$2,482.33	$2,595.29	$2,909.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,455.98 / $3,225.60 / $5,380.03	Professional		$2,455.98	$3,225.60	$5,380.03