Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,663.99 / $1,884.01 / $2,433.92	Professional		$1,663.99	$1,884.01	$2,433.92
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 $1,877.91 / $1,948.77 / $1,948.77	Professional		$1,877.91	$1,948.77	$1,948.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.31 / $2,284.94 / $3,911.89	Professional		$1,609.31	$2,284.94	$3,911.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,220.64 / $4,220.64 / $4,220.64	Facility		$4,220.64	$4,220.64	$4,220.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,269.87 / $2,910.01 / $3,766.97	Professional		$2,269.87	$2,910.01	$3,766.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,145.40 / $2,145.40 / $2,145.40	Professional		$2,145.40	$2,145.40	$2,145.40
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 $1,620.77 / $1,973.96 / $5,457.00	Professional		$1,620.77	$1,973.96	$5,457.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,780.30 / $1,780.30 / $1,780.30	Facility		$1,780.30	$1,780.30	$1,780.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,364.30 / $4,764.50	Professional		$8.00	$2,364.30	$4,764.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.10 / $2,284.01 / $3,911.89	Professional		$1,617.10	$2,284.01	$3,911.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.74 / $1,841.54 / $1,841.54	Facility		$1,698.74	$1,841.54	$1,841.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.74 / $1,841.54 / $1,940.43	Professional		$1,698.74	$1,841.54	$1,940.43
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 $1,558.00 / $2,128.06 / $3,762.00	Professional		$1,558.00	$2,128.06	$3,762.00