Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,720.00 / $32,630.40 / $50,187.10	Facility		$9,720.00	$32,630.40	$50,187.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $9,360.00 / $10,200.00	Professional		$1,000.00	$9,360.00	$10,200.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $22,239.60 / $53,659.20 / $77,470.80	Facility		$22,239.60	$53,659.20	$77,470.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9,360.00 / $9,360.00 / $9,360.00	Professional		$9,360.00	$9,360.00	$9,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,340.11 / $15,600.00 / $35,100.00	Facility		$3,340.11	$15,600.00	$35,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,317.95 / $13,547.31 / $27,140.79	Professional		$6,317.95	$13,547.31	$27,140.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,520.00 / $9,600.00 / $20,280.00	Professional		$5,520.00	$9,600.00	$20,280.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,380.60 / $3,230.45 / $12,500.00	Facility		$2,380.60	$3,230.45	$12,500.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8,640.00 / $32,630.40 / $49,560.00	Facility		$8,640.00	$32,630.40	$49,560.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $9,720.00 / $49,560.00	Professional		$1,000.00	$9,720.00	$49,560.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17,760.00 / $18,000.00 / $24,000.00	Professional		$17,760.00	$18,000.00	$24,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,034.00 / $18,574.77 / $39,821.86	Facility		$8,034.00	$18,574.77	$39,821.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,899.12 / $13,547.31 / $27,140.79	Professional		$8,899.12	$13,547.31	$27,140.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $13,200.00	Facility		$12,000.00	$12,000.00	$13,200.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $13,200.00	Professional		$12,000.00	$12,000.00	$13,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $7,200.00 / $20,880.00	Professional		$5,040.00	$7,200.00	$20,880.00