Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,427.00	Facility		$1,301.00	$3,964.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.72 / $1,649.29 / $2,138.02	Professional		$1,455.72	$1,649.29	$2,138.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,652.57 / $1,714.93 / $1,714.93	Professional		$1,652.57	$1,714.93	$1,714.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.94 / $1,985.62 / $3,362.61	Professional		$1,415.94	$1,985.62	$3,362.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,710.70 / $3,710.70 / $3,710.70	Facility		$3,710.70	$3,710.70	$3,710.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.29 / $2,555.55 / $3,312.42	Professional		$1,996.29	$2,555.55	$3,312.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,035.52 / $47,035.52 / $47,035.52	Facility		$47,035.52	$47,035.52	$47,035.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,426.38 / $1,736.21 / $5,457.00	Professional		$1,426.38	$1,736.21	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,489.80 / $1,489.80 / $1,489.80	Facility		$1,489.80	$1,489.80	$1,489.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.80 / $1,982.30 / $4,157.80	Professional		$1,489.80	$1,982.30	$4,157.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,269.00	Facility		$500.00	$800.00	$2,269.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.68 / $1,967.67 / $3,362.61	Professional		$1,419.68	$1,967.67	$3,362.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,616.22 / $1,616.22 / $1,701.05	Facility		$1,616.22	$1,616.22	$1,701.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.96 / $1,642.11 / $1,701.46	Professional		$1,548.96	$1,642.11	$1,701.46
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.68 / $1,895.60 / $3,127.79	Professional		$1,419.68	$1,895.60	$3,127.79