Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,871.80 / $12,997.80 / $19,991.20	Facility		$3,871.80	$12,997.80	$19,991.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,537.20 / $4,063.00	Professional		$1,000.00	$3,537.20	$4,063.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,858.77 / $21,374.25 / $32,488.23	Facility		$8,858.77	$21,374.25	$32,488.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,728.40 / $3,728.40 / $3,728.40	Professional		$3,728.40	$3,728.40	$3,728.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.21 / $6,214.00 / $13,981.50	Facility		$3,200.21	$6,214.00	$13,981.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,516.59 / $5,396.43 / $10,810.99	Professional		$2,516.59	$5,396.43	$10,810.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.80 / $3,824.00 / $8,078.20	Professional		$2,198.80	$3,824.00	$8,078.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.58 / $9,409.10 / $10,157.03	Facility		$1,523.58	$9,409.10	$10,157.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $3,346.00 / $3,346.00	Professional		$3,346.00	$3,346.00	$3,346.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,063.00 / $12,997.80 / $19,741.40	Facility		$4,063.00	$12,997.80	$19,741.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $3,871.80 / $19,741.40	Professional		$2,490.00	$3,871.80	$19,741.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,074.40 / $7,170.00 / $9,560.00	Professional		$7,074.40	$7,170.00	$9,560.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,340.11 / $7,398.77 / $15,862.24	Facility		$3,340.11	$7,398.77	$15,862.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,544.73 / $5,396.43 / $10,810.99	Professional		$3,544.73	$5,396.43	$10,810.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $5,258.00	Facility		$4,780.00	$4,780.00	$5,258.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $5,258.00	Professional		$4,780.00	$4,780.00	$5,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $7,170.00	Professional		$2,007.60	$2,868.00	$7,170.00