Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.28 / $4,048.00 / $8,451.00	Facility		$1,328.28	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.23 / $1,278.57 / $2,017.90	Professional		$1,141.23	$1,278.57	$2,017.90
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 $1,282.55 / $1,331.72 / $2,356.52	Professional		$1,282.55	$1,331.72	$2,356.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,449.04	Facility		$1,449.04	$1,449.04	$1,449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.66 / $1,563.91 / $2,581.05	Professional		$1,208.66	$1,563.91	$2,581.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.64 / $2,051.19 / $2,611.02	Professional		$1,511.64	$2,051.19	$2,611.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Professional		$1,094.01	$1,094.01	$1,094.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,003.18 / $10,247.00	Facility		$1,301.00	$5,003.18	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,152.22 / $1,331.35 / $3,944.99	Professional		$1,152.22	$1,331.35	$3,944.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.50 / $1,493.50 / $2,623.90	Professional		$1,493.50	$1,493.50	$2,623.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.04 / $1,449.04 / $1,449.04	Facility		$1,449.04	$1,449.04	$1,449.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.66 / $1,589.46 / $2,655.05	Professional		$1,208.66	$1,589.46	$2,655.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,239.88 / $1,239.88 / $1,257.95	Facility		$1,239.88	$1,239.88	$1,257.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,198.74 / $1,249.83 / $1,310.52	Professional		$1,198.74	$1,249.83	$1,310.52
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 $1,214.35 / $1,570.93 / $2,557.41	Professional		$1,214.35	$1,570.93	$2,557.41