Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,818.72 / $8,113.00	Facility		$1,426.00	$3,818.72	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.44 / $2,203.37 / $3,818.72	Professional		$1,947.44	$2,203.37	$3,818.72
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 $2,204.26 / $2,287.44 / $2,287.44	Professional		$2,204.26	$2,287.44	$2,287.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,524.85	Facility		$500.00	$800.00	$2,524.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,856.13 / $2,703.33 / $4,633.59	Professional		$1,856.13	$2,703.33	$4,633.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,921.46 / $4,921.46 / $4,921.46	Facility		$4,921.46	$4,921.46	$4,921.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,631.44 / $3,405.83 / $4,436.93	Professional		$2,631.44	$3,405.83	$4,436.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,250.05 / $13,250.05 / $17,450.98	Facility		$13,250.05	$13,250.05	$17,450.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,017.00	Facility		$1,020.00	$4,761.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,907.34 / $2,363.67 / $6,955.62	Professional		$1,907.34	$2,363.67	$6,955.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,586.70 / $1,586.70 / $1,586.70	Facility		$1,586.70	$1,586.70	$1,586.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,934.20 / $5,543.70	Professional		$10.00	$1,934.20	$5,543.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,524.85	Facility		$500.00	$800.00	$2,524.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,882.59 / $2,702.49 / $4,633.59	Professional		$1,882.59	$2,702.49	$4,633.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,890.18 / $2,146.64 / $2,146.64	Facility		$1,890.18	$2,146.64	$2,146.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,890.18 / $2,146.64 / $2,254.27	Professional		$1,890.18	$2,146.64	$2,254.27
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 $1,882.74 / $2,508.34 / $4,256.72	Professional		$1,882.74	$2,508.34	$4,256.72