Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.08 / $1,230.08 / $4,760.41	Facility		$1,230.08	$1,230.08	$4,760.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.60 / $1,302.44 / $1,763.13	Professional		$1,133.60	$1,302.44	$1,763.13
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 $2,097.42 / $2,754.50 / $2,754.50	Professional		$2,097.42	$2,754.50	$2,754.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,936.08	Facility		$2,084.13	$2,084.13	$2,936.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,570.94	Professional		$1,521.41	$1,521.41	$2,570.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,701.19 / $2,936.08 / $5,578.55	Professional		$2,701.19	$2,936.08	$5,578.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,859.98 / $2,065.88 / $2,065.88	Professional		$1,859.98	$2,065.88	$2,065.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,230.08 / $1,230.08 / $4,760.41	Facility		$1,230.08	$1,230.08	$4,760.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,302.44 / $1,876.47	Professional		$1,149.00	$1,302.44	$1,876.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.70 / $4,004.40 / $5,784.60	Professional		$1,988.70	$4,004.40	$5,784.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,936.08	Facility		$2,084.13	$2,084.13	$2,936.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $3,834.75	Professional		$1,521.41	$1,521.41	$3,834.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,904.78 / $1,904.78 / $2,621.77	Facility		$1,904.78	$1,904.78	$2,621.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,904.78 / $2,621.77 / $2,794.61	Professional		$1,904.78	$2,621.77	$2,794.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.80 / $1,815.91 / $2,070.48	Facility		$1,058.80	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.93 / $1,613.96 / $2,406.67	Professional		$1,312.93	$1,613.96	$2,406.67