Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $2,747.00 / $8,017.00	Facility		$1,056.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.05 / $1,095.67 / $1,799.82	Professional		$929.05	$1,095.67	$1,799.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,080.08 / $1,120.83 / $1,992.27	Professional		$1,080.08	$1,120.83	$1,992.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.59 / $1,353.67 / $2,166.02	Professional		$1,007.59	$1,353.67	$2,166.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.75 / $1,726.17 / $2,196.67	Professional		$1,271.75	$1,726.17	$2,196.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.19 / $1,212.19 / $1,212.19	Professional		$1,212.19	$1,212.19	$1,212.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $938.23 / $1,228.34 / $4,631.00	Professional		$938.23	$1,228.34	$4,631.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.50 / $1,221.50 / $2,200.30	Professional		$1,221.50	$1,221.50	$2,200.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $1,222.09 / $1,222.09	Facility		$1,222.09	$1,222.09	$1,222.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.43 / $1,375.58 / $2,174.85	Professional		$1,013.43	$1,375.58	$2,174.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,054.15 / $1,054.15 / $1,151.32	Facility		$1,054.15	$1,054.15	$1,151.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,018.73 / $1,062.47 / $1,151.32	Professional		$1,018.73	$1,062.47	$1,151.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.83 / $1,352.93 / $2,052.48	Professional		$1,025.83	$1,352.93	$2,052.48