Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $4,758.56 / $10,252.00	Facility		$1,278.00	$4,758.56	$10,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $2,329.36 / $3,301.74	Professional		$155.77	$2,329.36	$3,301.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,005.97 / $2,359.96 / $4,465.50	Professional		$2,005.97	$2,359.96	$4,465.50
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $3,862.83 / $4,544.50 / $6,698.26	Professional	50	$3,862.83	$4,544.50	$6,698.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $391.00 / $4,612.72	Professional		$188.82	$391.00	$4,612.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.85 / $3,744.76 / $3,904.17	Professional		$2,821.85	$3,744.76	$3,904.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,823.60 / $1,823.60 / $16,869.55	Facility		$1,823.60	$1,823.60	$16,869.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,511.00 / $11,043.00	Facility		$1,426.00	$5,511.00	$11,043.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $160.76 / $2,355.19 / $4,281.13	Professional		$160.76	$2,355.19	$4,281.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,381.80	Professional		$5.00	$5.00	$7,381.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $400.06 / $4,668.14	Professional		$189.13	$400.06	$4,668.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.66 / $181.34 / $3,029.66	Facility		$165.66	$181.34	$3,029.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $2,406.46 / $2,696.63	Professional		$165.66	$2,406.46	$2,696.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,477.53 / $3,580.75 / $6,047.29	Professional		$2,477.53	$3,580.75	$6,047.29