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 $1,483.69 / $1,604.01 / $2,570.82	Professional		$1,483.69	$1,604.01	$2,570.82
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 $1,607.11 / $1,667.75 / $3,053.06	Professional		$1,607.11	$1,667.75	$3,053.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.35 / $1,970.99 / $3,258.49	Professional		$1,435.35	$1,970.99	$3,258.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.52 / $2,486.51 / $3,237.81	Professional		$1,874.52	$2,486.51	$3,237.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,874.82 / $14,874.82 / $27,533.40	Facility		$14,874.82	$14,874.82	$27,533.40
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 $1,456.25 / $1,668.28 / $4,929.24	Professional		$1,456.25	$1,668.28	$4,929.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.10 / $1,578.10 / $3,295.50	Professional		$1,578.10	$1,578.10	$3,295.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $1,815.11 / $1,815.11	Facility		$1,815.11	$1,815.11	$1,815.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.35 / $2,037.15 / $3,260.44	Professional		$1,435.35	$2,037.15	$3,260.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,580.02 / $1,580.02 / $1,740.43	Facility		$1,580.02	$1,580.02	$1,740.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,540.93 / $1,580.02 / $1,740.43	Professional		$1,540.93	$1,580.02	$1,740.43
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 $1,404.70 / $1,945.49 / $3,233.08	Professional		$1,404.70	$1,945.49	$3,233.08