Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.33 / $6,703.66 / $10,240.50	Facility		$1,983.33	$6,703.66	$10,240.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,983.33 / $2,081.28	Professional		$1,469.14	$1,983.33	$2,081.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,457.08 / $10,948.98 / $16,642.13	Facility		$8,457.08	$10,948.98	$16,642.13
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,909.88 / $1,909.88 / $1,909.88	Professional		$1,909.88	$1,909.88	$1,909.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.67 / $3,617.21 / $8,125.62	Facility		$2,323.67	$3,617.21	$8,125.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.65 / $2,261.78 / $4,386.99	Professional		$1,127.65	$2,261.78	$4,386.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.89 / $3,305.56 / $4,652.26	Professional		$1,456.89	$3,305.56	$4,652.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,944.90 / $5,944.90 / $5,944.90	Facility		$5,944.90	$5,944.90	$5,944.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,081.28 / $6,703.66 / $10,112.60	Facility		$2,081.28	$6,703.66	$10,112.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,606.99 / $2,007.82 / $10,112.60	Professional		$1,606.99	$2,007.82	$10,112.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,623.87 / $3,672.84 / $4,897.12	Professional		$3,623.87	$3,672.84	$4,897.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,383.37 / $4,073.60 / $8,125.62	Facility		$2,383.37	$4,073.60	$8,125.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.55 / $2,330.77 / $4,403.75	Professional		$1,149.55	$2,330.77	$4,403.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,693.42	Facility		$2,448.56	$2,448.56	$2,693.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,693.42	Professional		$2,448.56	$2,448.56	$2,693.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $3,427.98	Professional		$1,028.40	$1,469.14	$3,427.98