Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.86 / $4,051.00 / $9,211.00	Facility		$1,367.86	$4,051.00	$9,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.90 / $1,367.86 / $2,153.48	Professional		$1,191.90	$1,367.86	$2,153.48
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 $1,322.13 / $1,372.02 / $2,490.98	Professional		$1,322.13	$1,372.02	$2,490.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.55 / $1,491.55 / $1,491.55	Facility		$1,491.55	$1,491.55	$1,491.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.77 / $1,625.56 / $2,657.96	Professional		$1,246.77	$1,625.56	$2,657.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.24 / $2,051.67 / $2,670.77	Professional		$1,546.24	$2,051.67	$2,670.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,495.40 / $23,619.01 / $36,506.51	Facility		$12,495.40	$23,619.01	$36,506.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,832.00 / $10,142.58	Facility		$1,283.00	$4,832.00	$10,142.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,197.31 / $1,437.74 / $4,062.54	Professional		$1,197.31	$1,437.74	$4,062.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.50 / $1,406.50 / $2,804.20	Professional		$1,406.50	$1,406.50	$2,804.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.55 / $1,491.55 / $1,491.55	Facility		$1,491.55	$1,491.55	$1,491.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.29 / $1,673.45 / $2,789.37	Professional		$1,247.29	$1,673.45	$2,789.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,300.33 / $1,300.33 / $1,399.48	Facility		$1,300.33	$1,300.33	$1,399.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.16 / $1,300.33 / $1,399.48	Professional		$1,269.16	$1,300.33	$1,399.48
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 $1,178.54 / $1,596.86 / $2,677.29	Professional		$1,178.54	$1,596.86	$2,677.29