Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,342.00 / $9,830.00	Facility		$1,426.00	$5,342.00	$9,830.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.48 / $1,377.66 / $1,747.85	Professional		$1,225.48	$1,377.66	$1,747.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,141.04 / $1,730.16 / $2,496.30	Professional		$1,141.04	$1,730.16	$2,496.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,570.00 / $7,646.00 / $10,557.00	Facility		$6,570.00	$7,646.00	$10,557.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.58 / $1,707.66 / $2,691.31	Professional		$1,286.58	$1,707.66	$2,691.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.09 / $1,863.09 / $2,069.16	Professional		$1,863.09	$1,863.09	$2,069.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,150.72 / $36,150.72 / $36,150.72	Facility		$36,150.72	$36,150.72	$36,150.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,897.00 / $10,689.00	Facility		$1,301.00	$5,897.00	$10,689.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,144.89 / $1,437.46 / $6,776.34	Professional		$1,144.89	$1,437.46	$6,776.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.30 / $2,773.30 / $3,237.10	Professional		$2,287.30	$2,773.30	$3,237.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,624.00 / $7,278.00 / $10,557.00	Facility		$5,624.00	$7,278.00	$10,557.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.67 / $1,717.51 / $2,870.24	Professional		$1,337.67	$1,717.51	$2,870.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,152.38 / $1,269.49 / $1,401.49	Facility		$1,152.38	$1,269.49	$1,401.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,152.38 / $1,269.49 / $1,401.49	Professional		$1,152.38	$1,269.49	$1,401.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $6,911.00 / $13,797.00	Facility		$3,742.00	$6,911.00	$13,797.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,362.94 / $1,730.93 / $2,798.28	Professional		$1,362.94	$1,730.93	$2,798.28