Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $6,365.80 / $7,697.96	Facility		$2,643.84	$6,365.80	$7,697.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.63 / $2,643.84 / $4,602.39	Professional		$2,581.63	$2,643.84	$4,602.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,511.65 / $2,954.88 / $8,459.92	Facility		$2,511.65	$2,954.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,954.88 / $2,954.88 / $2,954.88	Professional		$2,954.88	$2,954.88	$2,954.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,336.16 / $3,248.94 / $6,168.36	Facility		$2,336.16	$3,248.94	$6,168.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,517.36 / $2,517.36 / $2,517.36	Professional		$2,517.36	$2,517.36	$2,517.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $5,873.00 / $10,173.10	Facility		$2,643.84	$5,873.00	$10,173.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,550.53 / $2,643.84 / $4,602.39	Professional		$2,550.53	$2,643.84	$4,602.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,785.14 / $4,711.64 / $7,297.78	Professional		$2,785.14	$4,711.64	$7,297.78
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,813.52 / $2,813.52 / $3,094.87	Facility		$2,813.52	$2,813.52	$3,094.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,813.52 / $2,813.52 / $3,094.87	Professional		$2,813.52	$2,813.52	$3,094.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,382.56	Professional		$2,592.00	$2,592.00	$3,382.56