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 $1,109.98 / $1,277.20 / $1,589.16	Professional		$1,109.98	$1,277.20	$1,589.16
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 $1,252.39 / $1,299.65 / $1,299.65	Professional		$1,252.39	$1,299.65	$1,299.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.54 / $1,613.84 / $2,532.98	Professional		$1,207.54	$1,613.84	$2,532.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.00 / $1,930.44 / $1,937.36	Professional		$1,459.00	$1,930.44	$1,937.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,808.40 / $8,808.40 / $8,808.40	Facility		$8,808.40	$8,808.40	$8,808.40
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 $1,109.98 / $1,336.56 / $3,224.21	Professional		$1,109.98	$1,336.56	$3,224.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,524.40 / $3,108.30	Professional		$6.00	$1,524.40	$3,108.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.82 / $1,631.99 / $2,598.98	Professional		$1,208.82	$1,631.99	$2,598.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,215.83 / $1,215.83 / $1,394.46	Facility		$1,215.83	$1,215.83	$1,394.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,179.35 / $1,221.66 / $1,394.46	Professional		$1,179.35	$1,221.66	$1,394.46
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 $1,173.53 / $1,515.50 / $2,517.27	Professional		$1,173.53	$1,515.50	$2,517.27