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 $1,084.17 / $1,183.47 / $1,575.02	Professional		$1,084.17	$1,183.47	$1,575.02
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 $1,238.23 / $1,284.95 / $1,284.95	Professional		$1,238.23	$1,284.95	$1,284.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.59 / $1,598.53 / $2,517.09	Professional		$1,159.59	$1,598.53	$2,517.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.82 / $1,904.85 / $1,909.75	Professional		$1,439.82	$1,904.85	$1,909.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,290.45 / $15,290.45 / $15,290.45	Facility		$15,290.45	$15,290.45	$15,290.45
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 $1,084.17 / $1,257.33 / $3,186.18	Professional		$1,084.17	$1,257.33	$3,186.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,690.10 / $3,069.50	Professional		$6.00	$1,690.10	$3,069.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.71 / $1,614.66 / $2,701.72	Professional		$1,194.71	$1,614.66	$2,701.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,204.18 / $1,204.18 / $1,527.84	Facility		$1,204.18	$1,204.18	$1,527.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.06 / $1,210.73 / $1,527.84	Professional		$1,167.06	$1,210.73	$1,527.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.75 / $1,525.91 / $2,500.67	Professional		$1,164.75	$1,525.91	$2,500.67