Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.17 / $3,830.00 / $8,240.00	Facility		$1,249.17	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.40 / $1,165.96 / $1,681.48	Professional		$1,074.40	$1,165.96	$1,681.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,169.75 / $1,213.89 / $1,213.89	Professional		$1,169.75	$1,213.89	$1,213.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $1,330.96 / $1,330.96	Facility		$1,330.96	$1,330.96	$1,330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.94 / $1,416.80 / $2,356.11	Professional		$1,108.94	$1,416.80	$2,356.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.98 / $1,882.03 / $2,402.61	Professional		$1,390.98	$1,882.03	$2,402.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,856.80 / $5,856.80 / $5,856.80	Facility		$5,856.80	$5,856.80	$5,856.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,249.17 / $4,761.00 / $8,404.00	Facility		$1,249.17	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,074.40 / $1,268.14 / $5,958.00	Professional		$1,074.40	$1,268.14	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.20 / $1,396.20 / $2,469.50	Professional		$1,396.20	$1,396.20	$2,469.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $1,330.96 / $1,330.96	Facility		$1,330.96	$1,330.96	$1,330.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.94 / $1,444.84 / $2,427.33	Professional		$1,108.94	$1,444.84	$2,427.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.05 / $1,158.05 / $1,196.53	Facility		$1,158.05	$1,158.05	$1,196.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.50 / $1,160.01 / $1,233.90	Professional		$1,125.50	$1,160.01	$1,233.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.74 / $1,396.83 / $2,321.16	Professional		$1,043.74	$1,396.83	$2,321.16