Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.15 / $2,791.00 / $10,768.56	Facility		$735.15	$2,791.00	$10,768.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.79 / $1,690.29 / $2,589.02	Professional		$1,481.79	$1,690.29	$2,589.02
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 $1,650.16 / $1,712.43 / $3,047.96	Professional		$1,650.16	$1,712.43	$3,047.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.75 / $2,020.58 / $3,316.25	Professional		$1,556.75	$2,020.58	$3,316.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.44 / $2,638.38 / $3,356.84	Professional		$1,943.44	$2,638.38	$3,356.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,047.67 / $10,514.50 / $15,781.21	Facility		$6,047.67	$10,514.50	$15,781.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,958.62 / $2,147.28 / $2,676.85	Professional		$1,958.62	$2,147.28	$2,676.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,745.00 / $10,161.20	Facility		$1,068.00	$3,745.00	$10,161.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,481.79 / $1,813.01 / $4,987.21	Professional		$1,481.79	$1,813.01	$4,987.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.00 / $1,768.00 / $3,372.00	Professional		$1,768.00	$1,768.00	$3,372.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.75 / $2,054.34 / $3,451.39	Professional		$1,556.75	$2,054.34	$3,451.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,565.80 / $1,608.42 / $1,608.42	Facility		$1,565.80	$1,608.42	$1,608.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,554.21 / $1,608.42 / $1,699.40	Professional		$1,554.21	$1,608.42	$1,699.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,563.00 / $8,261.00	Facility		$1,899.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.11 / $2,052.84 / $3,303.74	Professional		$1,536.11	$2,052.84	$3,303.74