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 $1,500.99 / $1,752.25 / $2,583.69	Professional		$1,500.99	$1,752.25	$2,583.69
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 $1,766.91 / $1,833.59 / $3,285.50	Professional		$1,766.91	$1,833.59	$3,285.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.01 / $1,940.64 / $3,472.32	Professional		$969.01	$1,940.64	$3,472.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,078.08 / $2,822.55 / $3,589.40	Professional		$2,078.08	$2,822.55	$3,589.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,517.50 / $7,517.50 / $7,517.50	Facility		$7,517.50	$7,517.50	$7,517.50
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 $1,588.34 / $1,831.32 / $5,992.00	Professional		$1,588.34	$1,831.32	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.50 / $1,183.50 / $3,619.10	Professional		$1,183.50	$1,183.50	$3,619.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.00 / $2,000.28 / $3,543.99	Professional		$1,060.00	$2,000.28	$3,543.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,098.46 / $1,723.59 / $1,723.59	Facility		$1,098.46	$1,723.59	$1,723.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,098.46 / $1,723.59 / $1,819.09	Professional		$1,098.46	$1,723.59	$1,819.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,008.02 / $1,982.14 / $3,555.35	Professional		$1,008.02	$1,982.14	$3,555.35