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 $1,169.88 / $1,271.25 / $1,622.60	Professional		$1,169.88	$1,271.25	$1,622.60
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 $1,156.92 / $1,835.67 / $2,440.42	Professional		$1,156.92	$1,835.67	$2,440.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.65 / $1,661.65 / $2,780.09	Professional		$1,168.65	$1,661.65	$2,780.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.14 / $2,093.23 / $2,093.23	Professional		$1,568.14	$2,093.23	$2,093.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,324.23 / $5,324.23 / $5,324.23	Facility		$5,324.23	$5,324.23	$5,324.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,169.88 / $1,312.67 / $5,958.00	Professional		$1,169.88	$1,312.67	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,318.40 / $3,285.10	Professional		$6.00	$1,318.40	$3,285.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.08 / $1,676.80 / $2,780.09	Professional		$1,264.08	$1,676.80	$2,780.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,206.89 / $1,281.15 / $1,281.15	Facility		$1,206.89	$1,281.15	$1,281.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,206.89 / $1,281.15 / $1,347.41	Professional		$1,206.89	$1,281.15	$1,347.41
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.31 / $1,588.51 / $2,754.39	Professional		$1,198.31	$1,588.51	$2,754.39