Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.28 / $2,070.29 / $3,142.11	Professional		$1,796.28	$2,070.29	$3,142.11
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 $2,115.11 / $2,194.92 / $2,194.92	Professional		$2,115.11	$2,194.92	$2,194.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,409.73 / $2,409.73 / $2,409.73	Facility		$2,409.73	$2,409.73	$2,409.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.08 / $2,334.71 / $4,057.04	Professional		$1,696.08	$2,334.71	$4,057.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,539.42 / $3,576.50 / $4,386.28	Professional		$2,539.42	$3,576.50	$4,386.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141,707.04 / $141,707.04 / $141,707.04	Facility		$141,707.04	$141,707.04	$141,707.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,801.52 / $2,166.31 / $4,775.88	Professional		$1,801.52	$2,166.31	$4,775.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.90 / $2,168.90 / $4,296.30	Professional		$2,168.90	$2,168.90	$4,296.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,409.73 / $2,409.73 / $2,409.73	Facility		$2,409.73	$2,409.73	$2,409.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.78 / $2,401.52 / $4,057.04	Professional		$1,807.78	$2,401.52	$4,057.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,074.21 / $2,074.21 / $2,094.89	Facility		$2,074.21	$2,074.21	$2,094.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,977.27 / $2,094.89 / $2,206.98	Professional		$1,977.27	$2,094.89	$2,206.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $3,742.00 / $7,000.00	Facility		$2,090.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,767.04 / $2,443.38 / $3,952.35	Professional		$1,767.04	$2,443.38	$3,952.35