Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,412.88 / $4,470.87 / $59,703.00	Facility		$3,412.88	$4,470.87	$59,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,589.21 / $6,266.39 / $9,693.00	Professional		$2,589.21	$6,266.39	$9,693.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,644.09 / $2,743.86 / $4,498.43	Professional		$2,644.09	$2,743.86	$4,498.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.88 / $3,825.88 / $3,825.88	Facility		$3,825.88	$3,825.88	$3,825.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,398.18 / $7,252.20 / $7,478.87	Professional		$4,398.18	$7,252.20	$7,478.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,668.36 / $9,668.36 / $11,916.45	Facility		$9,668.36	$9,668.36	$11,916.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,713.38 / $2,713.38 / $2,713.38	Professional		$2,713.38	$2,713.38	$2,713.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,412.88 / $10,784.70 / $59,703.00	Facility		$3,412.88	$10,784.70	$59,703.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,589.21 / $6,266.39 / $9,693.00	Professional		$2,589.21	$6,266.39	$9,693.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,028.90 / $4,028.90 / $4,028.90	Professional		$4,028.90	$4,028.90	$4,028.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,825.88 / $3,825.88 / $3,825.88	Facility		$3,825.88	$3,825.88	$3,825.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $989.00 / $2,585.37 / $2,585.37	Facility		$989.00	$2,585.37	$2,585.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $989.00 / $2,930.10 / $4,325.76	Professional		$989.00	$2,930.10	$4,325.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,879.00 / $7,000.00	Facility		$1,843.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.71 / $2,986.18 / $5,027.60	Professional		$1,440.71	$2,986.18	$5,027.60