Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,188.75 / $8,240.00	Facility		$1,426.00	$3,188.75	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.94 / $1,350.15 / $1,977.96	Professional		$1,248.94	$1,350.15	$1,977.96
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 $1,368.83 / $1,420.48 / $1,420.48	Professional		$1,368.83	$1,420.48	$1,420.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.29 / $1,554.29 / $1,554.29	Facility		$1,554.29	$1,554.29	$1,554.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.22 / $1,624.65 / $2,751.46	Professional		$1,156.22	$1,624.65	$2,751.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,627.59 / $2,202.63 / $2,811.30	Professional		$1,627.59	$2,202.63	$2,811.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1,984.85 / $13,449.36	Facility		$0.50	$1,984.85	$13,449.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,534.00 / $8,404.00	Facility		$1,283.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,261.98 / $1,451.64 / $5,100.00	Professional		$1,261.98	$1,451.64	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $920.80 / $920.80 / $2,868.40	Professional		$920.80	$920.80	$2,868.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.29 / $1,554.29 / $1,554.29	Facility		$1,554.29	$1,554.29	$1,554.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.82 / $1,644.87 / $2,751.46	Professional		$1,187.82	$1,644.87	$2,751.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,046.94 / $1,349.11 / $1,349.11	Facility		$1,046.94	$1,349.11	$1,349.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,046.94 / $1,349.11 / $1,437.11	Professional		$1,046.94	$1,349.11	$1,437.11
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 $1,192.38 / $1,564.36 / $2,651.99	Professional		$1,192.38	$1,564.36	$2,651.99