Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.25 / $4,448.93 / $6,796.17	Facility		$1,316.25	$4,448.93	$6,796.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,316.25 / $2,031.25	Professional		$975.00	$1,316.25	$2,031.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,612.59 / $7,288.31 / $11,044.64	Facility		$5,612.59	$7,288.31	$11,044.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $1,267.50 / $1,267.50	Professional		$1,267.50	$1,267.50	$1,267.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.94 / $2,112.50 / $4,753.13	Facility		$1,087.94	$2,112.50	$4,753.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.61 / $1,834.39 / $3,675.50	Professional		$855.61	$1,834.39	$3,675.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $747.50 / $1,300.00 / $2,746.25	Professional		$747.50	$1,300.00	$2,746.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.25 / $2,871.25 / $2,871.25	Facility		$2,871.25	$2,871.25	$2,871.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $1,137.50 / $1,137.50	Professional		$1,137.50	$1,137.50	$1,137.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,381.25 / $4,448.93 / $6,711.25	Facility		$1,381.25	$4,448.93	$6,711.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,332.50 / $6,711.25	Professional		$1,170.00	$1,332.50	$6,711.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $2,437.50 / $3,250.00	Professional		$2,405.00	$2,437.50	$3,250.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,135.50 / $2,515.48 / $5,392.81	Facility		$1,135.50	$2,515.48	$5,392.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.06 / $1,834.39 / $3,675.50	Professional		$1,425.06	$1,834.39	$3,675.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,787.50	Facility		$1,625.00	$1,625.00	$1,787.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,787.50	Professional		$1,625.00	$1,625.00	$1,787.50
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $2,437.50	Professional		$682.50	$975.00	$2,437.50