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 $1,233.99 / $1,472.52 / $4,309.18	Professional		$1,233.99	$1,472.52	$4,309.18
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 $1,389.60 / $2,214.86 / $2,920.83	Professional		$1,389.60	$2,214.86	$2,920.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.06 / $1,794.95 / $2,830.84	Professional		$1,341.06	$1,794.95	$2,830.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.22 / $2,135.34 / $2,140.19	Professional		$1,614.22	$2,135.34	$2,140.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,593.04 / $16,593.04 / $16,593.04	Facility		$16,593.04	$16,593.04	$16,593.04
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 $1,233.99 / $1,496.54 / $5,559.88	Professional		$1,233.99	$1,496.54	$5,559.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,826.80 / $3,438.60	Professional		$7.00	$1,826.80	$3,438.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.85 / $1,812.44 / $2,885.60	Professional		$1,350.85	$1,812.44	$2,885.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,352.17 / $1,352.17 / $1,653.42	Facility		$1,352.17	$1,352.17	$1,653.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,310.01 / $1,360.04 / $1,653.42	Professional		$1,310.01	$1,360.04	$1,653.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,222.00 / $3,475.00 / $6,000.00	Facility		$2,222.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.26 / $1,711.49 / $2,819.10	Professional		$1,373.26	$1,711.49	$2,819.10