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 $1,308.02 / $1,443.91 / $1,804.81	Professional		$1,308.02	$1,443.91	$1,804.81
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 $1,131.70 / $1,704.70 / $2,488.02	Professional		$1,131.70	$1,704.70	$2,488.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.89 / $1,678.59 / $2,606.27	Professional		$1,270.89	$1,678.59	$2,606.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.03 / $1,943.03 / $2,061.71	Professional		$1,943.03	$1,943.03	$2,061.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.94 / $1,549.94 / $1,549.94	Professional		$1,549.94	$1,549.94	$1,549.94
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 $1,266.18 / $1,553.03 / $5,958.00	Professional		$1,266.18	$1,553.03	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,708.00 / $3,177.10	Professional		$15.00	$1,708.00	$3,177.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.41 / $1,684.24 / $2,606.27	Professional		$1,331.41	$1,684.24	$2,606.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,259.60 / $1,259.60 / $1,425.01	Facility		$1,259.60	$1,259.60	$1,425.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,200.80 / $1,284.80 / $1,425.01	Professional		$1,200.80	$1,284.80	$1,425.01
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 $1,222.88 / $1,685.95 / $2,646.87	Professional		$1,222.88	$1,685.95	$2,646.87