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 / $8,247.00	Facility		$1,426.00	$3,830.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,533.57 / $1,683.03 / $2,472.05	Professional		$1,533.57	$1,683.03	$2,472.05
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 $1,690.56 / $1,754.36 / $3,219.70	Professional		$1,690.56	$1,754.36	$3,219.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,515.34 / $2,042.62 / $3,353.18	Professional		$1,515.34	$2,042.62	$3,353.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.35 / $2,613.11 / $3,403.34	Professional		$1,970.35	$2,613.11	$3,403.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,398.23 / $11,129.02 / $11,129.02	Facility		$9,398.23	$11,129.02	$11,129.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,404.00	Facility		$1,283.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,494.01 / $1,746.84 / $5,188.10	Professional		$1,494.01	$1,746.84	$5,188.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $3,570.30	Professional		$1,650.90	$1,650.90	$3,570.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.10 / $2,073.34 / $3,353.18	Professional		$1,549.10	$2,073.34	$3,353.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,664.42 / $1,664.42 / $1,785.23	Facility		$1,664.42	$1,664.42	$1,785.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,622.48 / $1,664.42 / $1,785.23	Professional		$1,622.48	$1,664.42	$1,785.23
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 $1,479.31 / $1,993.41 / $3,422.36	Professional		$1,479.31	$1,993.41	$3,422.36