Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.09 / $4,051.00 / $9,211.00	Facility		$1,404.09	$4,051.00	$9,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,198.75 / $1,350.29 / $1,984.68	Professional		$1,198.75	$1,350.29	$1,984.68
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 $1,357.27 / $1,408.48 / $2,561.69	Professional		$1,357.27	$1,408.48	$2,561.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.63 / $1,671.79 / $2,728.36	Professional		$1,219.63	$1,671.79	$2,728.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.50 / $2,105.16 / $2,740.31	Professional		$1,586.50	$2,105.16	$2,740.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,535.99 / $14,850.26 / $33,381.76	Facility		$11,535.99	$14,850.26	$33,381.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,831.00 / $9,436.00	Facility		$1,283.00	$4,831.00	$9,436.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,229.60 / $1,426.00 / $4,170.14	Professional		$1,229.60	$1,426.00	$4,170.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.50 / $1,432.50 / $2,880.50	Professional		$1,432.50	$1,432.50	$2,880.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.91 / $1,699.69 / $2,787.82	Professional		$1,222.91	$1,699.69	$2,787.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,334.78 / $1,334.78 / $1,426.03	Facility		$1,334.78	$1,334.78	$1,426.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,302.84 / $1,334.78 / $1,426.03	Professional		$1,302.84	$1,334.78	$1,426.03
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 $1,212.63 / $1,592.07 / $2,569.96	Professional		$1,212.63	$1,592.07	$2,569.96