Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.75 / $3,830.00 / $8,240.00	Facility		$1,354.75	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.76 / $1,276.17 / $1,895.90	Professional		$1,170.76	$1,276.17	$1,895.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,296.55 / $1,345.48 / $2,319.55	Professional		$1,296.55	$1,345.48	$2,319.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.37 / $1,466.37 / $1,466.37	Facility		$1,466.37	$1,466.37	$1,466.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.75 / $1,545.54 / $2,610.37	Professional		$1,161.75	$1,545.54	$2,610.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.59 / $2,079.36 / $2,650.65	Professional		$1,534.59	$2,079.36	$2,650.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.67 / $1,309.67 / $1,309.67	Professional		$1,309.67	$1,309.67	$1,309.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,597.00 / $8,404.00	Facility		$1,283.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,170.76 / $1,356.02 / $5,100.00	Professional		$1,170.76	$1,356.02	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.40 / $1,442.40 / $2,664.60	Professional		$1,442.40	$1,442.40	$2,664.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,466.37 / $1,466.37 / $1,466.37	Facility		$1,466.37	$1,466.37	$1,466.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.81 / $1,590.10 / $2,632.49	Professional		$1,170.81	$1,590.10	$2,632.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,232.16 / $1,268.98 / $1,268.98	Facility		$1,232.16	$1,268.98	$1,268.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.21 / $1,268.98 / $1,346.49	Professional		$1,230.21	$1,268.98	$1,346.49
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 $1,161.78 / $1,557.61 / $2,561.30	Professional		$1,161.78	$1,557.61	$2,561.30