Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.95 / $3,589.00 / $8,451.00	Facility		$1,468.95	$3,589.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.47 / $1,422.05 / $2,279.59	Professional		$1,291.47	$1,422.05	$2,279.59
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 $1,415.53 / $1,468.95 / $1,468.95	Professional		$1,415.53	$1,468.95	$1,468.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.88 / $1,599.88 / $1,599.88	Facility		$1,599.88	$1,599.88	$1,599.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.41 / $1,769.62 / $2,869.26	Professional		$1,335.41	$1,769.62	$2,869.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.12 / $2,197.84 / $2,860.56	Professional		$1,656.12	$2,197.84	$2,860.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.51 / $24,138.59 / $57,744.56	Facility		$2,086.51	$24,138.59	$57,744.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $4,642.80 / $9,534.00	Facility		$1,286.00	$4,642.80	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,291.47 / $1,515.38 / $3,995.00	Professional		$1,291.47	$1,515.38	$3,995.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.20 / $1,492.20 / $3,055.90	Professional		$1,492.20	$1,492.20	$3,055.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,599.88 / $1,599.88 / $1,599.88	Facility		$1,599.88	$1,599.88	$1,599.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.58 / $1,788.68 / $3,000.91	Professional		$1,354.58	$1,788.68	$3,000.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,397.64 / $1,397.64 / $1,485.34	Facility		$1,397.64	$1,397.64	$1,485.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,364.75 / $1,397.64 / $1,485.34	Professional		$1,364.75	$1,397.64	$1,485.34
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 $1,276.05 / $1,720.55 / $2,869.73	Professional		$1,276.05	$1,720.55	$2,869.73