Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,667.00 / $8,017.00	Facility		$536.00	$2,667.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $266.37 / $3,290.56	Professional		$154.47	$266.37	$3,290.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,154.44 / $2,534.64 / $4,747.60	Professional		$2,154.44	$2,534.64	$4,747.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.26 / $2,419.42 / $5,201.97	Professional		$194.26	$2,419.42	$5,201.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,030.93 / $4,022.33 / $4,193.14	Professional		$3,030.93	$4,022.33	$4,193.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,605.30 / $13,188.65 / $22,168.80	Facility		$6,605.30	$13,188.65	$22,168.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,700.00 / $8,247.00	Facility		$594.00	$2,700.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $496.31 / $3,979.86	Professional		$154.47	$496.31	$3,979.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $7,893.50	Professional		$5.00	$5.00	$7,893.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $2,492.83 / $5,589.92	Professional		$196.29	$2,492.83	$5,589.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $170.51 / $188.55 / $3,221.04	Facility		$170.51	$188.55	$3,221.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $2,581.21 / $2,892.45	Professional		$170.51	$2,581.21	$2,892.45
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 $3,065.13 / $4,037.53 / $6,530.43	Professional		$3,065.13	$4,037.53	$6,530.43