Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.66 / $1,761.66 / $6,817.62	Facility		$1,761.66	$1,761.66	$6,817.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,543.76 / $1,865.29 / $2,515.69	Professional		$1,543.76	$1,865.29	$2,515.69
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 $3,003.81 / $3,944.84 / $3,944.84	Professional		$3,003.81	$3,944.84	$3,944.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $3,944.84	Facility		$2,481.10	$2,481.10	$3,944.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $3,454.24	Professional		$1,811.20	$1,811.20	$3,454.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,629.25 / $3,944.84 / $7,495.20	Professional		$3,629.25	$3,944.84	$7,495.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.76 / $2,761.39 / $2,761.39	Professional		$2,663.76	$2,761.39	$2,761.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,761.66 / $1,761.66 / $6,817.62	Facility		$1,761.66	$1,761.66	$6,817.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,543.75 / $1,934.36 / $3,206.22	Professional		$1,543.75	$1,934.36	$3,206.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.70 / $1,855.00 / $7,772.00	Professional		$1,411.70	$1,855.00	$7,772.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $3,944.84	Facility		$2,481.10	$2,481.10	$3,944.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $4,999.88	Professional		$1,811.20	$1,811.20	$4,999.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,820.40 / $3,754.76 / $3,754.76	Facility		$2,820.40	$3,754.76	$3,754.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,820.40 / $3,754.76 / $4,105.06	Professional		$2,820.40	$3,754.76	$4,105.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.35 / $2,600.65 / $2,965.23	Facility		$1,516.35	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.51 / $2,138.60 / $3,446.69	Professional		$1,852.51	$2,138.60	$3,446.69