Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.50 / $1,288.50 / $4,986.49	Facility		$1,288.50	$1,288.50	$4,986.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.44 / $1,364.29 / $2,018.66	Professional		$1,187.44	$1,364.29	$2,018.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,452.51 / $2,452.51 / $2,452.51	Professional		$2,452.51	$2,452.51	$2,452.51
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 $2,197.02 / $2,885.30 / $2,885.30	Professional		$2,197.02	$2,885.30	$2,885.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,201.89	Facility		$2,289.62	$2,289.62	$3,201.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $4,103.25	Professional		$1,671.42	$1,671.42	$4,103.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.74 / $3,201.89 / $6,083.59	Professional		$2,945.74	$3,201.89	$6,083.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,948.30 / $1,948.30 / $1,948.30	Professional		$1,948.30	$1,948.30	$1,948.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.50 / $1,288.50 / $4,986.49	Facility		$1,288.50	$1,288.50	$4,986.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,187.44 / $1,364.29 / $2,345.07	Professional		$1,187.44	$1,364.29	$2,345.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.80 / $4,367.00 / $6,308.30	Professional		$2,168.80	$4,367.00	$6,308.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,201.89	Facility		$2,289.62	$2,289.62	$3,201.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $4,103.25	Professional		$1,671.42	$1,671.42	$4,103.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,378.75 / $1,378.75 / $2,746.27	Facility		$1,378.75	$1,378.75	$2,746.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,378.75 / $2,746.27 / $3,047.61	Professional		$1,378.75	$2,746.27	$3,047.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.52 / $1,559.40 / $2,601.98	Professional		$1,349.52	$1,559.40	$2,601.98