Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,228.64 / $2,653.30	Professional		$1,091.79	$2,228.64	$2,653.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,282.69 / $2,685.53 / $4,402.83	Professional		$2,282.69	$2,685.53	$4,402.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.19 / $2,860.65 / $4,062.93	Professional		$1,980.19	$2,860.65	$4,062.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,452.89 / $4,452.89 / $4,661.04	Professional		$4,452.89	$4,452.89	$4,661.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,188.48 / $2,188.48 / $2,188.48	Professional		$2,188.48	$2,188.48	$2,188.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,228.64 / $4,378.03	Professional		$1,091.79	$2,228.64	$4,378.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.65 / $2,856.07 / $4,006.49	Professional		$2,116.65	$2,856.07	$4,006.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,530.41 / $2,530.41 / $2,625.90	Facility		$2,530.41	$2,530.41	$2,625.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,490.28 / $2,581.02 / $3,442.42	Professional		$1,490.28	$2,581.02	$3,442.42
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,809.28 / $2,597.65 / $4,820.18	Professional		$1,809.28	$2,597.65	$4,820.18