Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $2,747.00 / $8,017.00	Facility		$1,058.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.85 / $1,225.92 / $1,846.83	Professional		$1,126.85	$1,225.92	$1,846.83
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 $1,213.70 / $1,259.50 / $1,259.50	Professional		$1,213.70	$1,259.50	$1,259.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,166.28 / $1,545.76 / $2,497.76	Professional		$1,166.28	$1,545.76	$2,497.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.85 / $1,875.18 / $2,436.92	Professional		$1,410.85	$1,875.18	$2,436.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,522.80 / $6,522.80 / $6,522.80	Facility		$6,522.80	$6,522.80	$6,522.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,126.85 / $1,350.37 / $3,812.02	Professional		$1,126.85	$1,350.37	$3,812.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.40 / $1,332.40 / $2,666.90	Professional		$1,332.40	$1,332.40	$2,666.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.28 / $1,576.36 / $2,581.42	Professional		$1,166.28	$1,576.36	$2,581.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,088.47 / $1,189.59 / $1,292.26	Facility		$1,088.47	$1,189.59	$1,292.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,157.01 / $1,191.78 / $1,250.31	Professional		$1,157.01	$1,191.78	$1,250.31
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 $1,170.54 / $1,548.06 / $2,474.91	Professional		$1,170.54	$1,548.06	$2,474.91