Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,132.86 / $1,444.21	Professional		$1,008.27	$1,132.86	$1,444.21
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 $1,001.29 / $1,595.89 / $2,148.13	Professional		$1,001.29	$1,595.89	$2,148.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.19 / $1,467.07 / $2,310.10	Professional		$1,096.19	$1,467.07	$2,310.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.14 / $1,744.90 / $1,750.21	Professional		$1,319.14	$1,744.90	$1,750.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,529.15 / $2,529.15 / $2,529.15	Facility		$2,529.15	$2,529.15	$2,529.15
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 $1,008.27 / $1,203.66 / $2,920.15	Professional		$1,008.27	$1,203.66	$2,920.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,421.40 / $2,813.00	Professional		$7.00	$1,421.40	$2,813.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.13 / $1,481.50 / $2,366.29	Professional		$1,107.13	$1,481.50	$2,366.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.14 / $1,104.14 / $1,254.99	Facility		$1,104.14	$1,104.14	$1,254.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,069.83 / $1,110.18 / $1,254.99	Professional		$1,069.83	$1,110.18	$1,254.99
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 $1,106.83 / $1,388.62 / $2,297.33	Professional		$1,106.83	$1,388.62	$2,297.33