Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.15 / $4,962.21 / $7,632.15	Facility		$1,478.15	$4,962.21	$7,632.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.41 / $1,551.15 / $2,737.32	Professional		$1,350.41	$1,551.15	$2,737.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $11,115.77 / $16,895.64	Facility		$8,459.92	$11,115.77	$16,895.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,423.41 / $1,423.41 / $1,423.41	Professional		$1,423.41	$1,423.41	$1,423.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,731.81 / $2,695.74 / $6,055.64	Facility		$1,731.81	$2,695.74	$6,055.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.50 / $1,948.91 / $4,127.25	Professional		$1,067.50	$1,948.91	$4,127.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.81 / $2,463.59 / $3,467.27	Professional		$1,085.81	$2,463.59	$3,467.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,418.00 / $2,962.51 / $5,580.70	Facility		$2,418.00	$2,962.51	$5,580.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,478.15 / $4,962.21 / $7,536.75	Facility		$1,478.15	$4,962.21	$7,536.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,368.66 / $2,098.61 / $7,536.75	Professional		$1,368.66	$2,098.61	$7,536.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,654.98 / $3,654.98 / $3,654.98	Facility		$3,654.98	$3,654.98	$3,654.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.82 / $2,737.32 / $3,649.76	Professional		$2,700.82	$2,737.32	$3,649.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,776.35 / $3,036.00 / $6,055.64	Facility		$1,776.35	$3,036.00	$6,055.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.34 / $1,948.91 / $4,127.25	Professional		$1,078.34	$1,948.91	$4,127.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $2,734.45	Facility		$1,824.88	$1,824.88	$2,734.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $2,734.45	Professional		$1,824.88	$1,824.88	$2,734.45
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,094.93 / $2,784.16	Professional		$766.45	$1,094.93	$2,784.16