Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,254.00 / $12,474.00	Facility		$1,426.00	$5,254.00	$12,474.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,134.53 / $1,680.37	Professional		$1,008.40	$1,134.53	$1,680.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,123.49 / $1,176.59 / $2,062.35	Professional		$1,123.49	$1,176.59	$2,062.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.67 / $1,377.87 / $2,262.69	Professional		$1,051.67	$1,377.87	$2,262.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.80 / $1,797.07 / $2,291.73	Professional		$1,326.80	$1,797.07	$2,291.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.90 / $1,943.02 / $1,943.02	Professional		$1,112.90	$1,943.02	$1,943.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,868.00 / $12,474.00	Facility		$1,426.00	$5,868.00	$12,474.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,223.59 / $5,536.16	Professional		$1,008.40	$1,223.59	$5,536.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.60 / $1,326.60 / $2,308.90	Professional		$1,326.60	$1,326.60	$2,308.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.28 / $1,272.28 / $1,272.28	Facility		$1,272.28	$1,272.28	$1,272.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.92 / $1,391.51 / $2,283.44	Professional		$1,054.92	$1,391.51	$2,283.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.93 / $1,096.93 / $1,324.28	Facility		$1,096.93	$1,096.93	$1,324.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,062.57 / $1,102.99 / $1,324.28	Professional		$1,062.57	$1,102.99	$1,324.28
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 $1,047.25 / $1,322.90 / $2,182.40	Professional		$1,047.25	$1,322.90	$2,182.40