Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,915.68 / $1,915.68 / $7,413.68	Facility		$1,915.68	$1,915.68	$7,413.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.49 / $2,028.36 / $3,034.91	Professional		$1,625.49	$2,028.36	$3,034.91
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 $3,266.42 / $4,289.72 / $4,289.72	Professional		$3,266.42	$4,289.72	$4,289.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $4,153.68	Facility		$2,550.04	$2,550.04	$4,153.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $3,637.11	Professional		$1,861.53	$1,861.53	$3,637.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,821.39 / $4,153.68 / $7,891.99	Professional		$3,821.39	$4,153.68	$7,891.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,002.80 / $3,181.90 / $3,431.78	Professional		$3,002.80	$3,181.90	$3,431.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,915.68 / $1,915.68 / $7,413.68	Facility		$1,915.68	$1,915.68	$7,413.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,625.49 / $2,103.48 / $3,431.78	Professional		$1,625.49	$2,103.48	$3,431.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,813.40 / $5,665.10 / $8,183.50	Professional		$2,813.40	$5,665.10	$8,183.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $4,153.68	Facility		$2,550.04	$2,550.04	$4,153.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $5,325.75	Professional		$1,861.53	$1,861.53	$5,325.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,049.84 / $2,049.84 / $4,083.02	Facility		$2,049.84	$2,049.84	$4,083.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,049.84 / $4,083.02 / $4,164.68	Professional		$2,049.84	$4,083.02	$4,164.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $5,441.30 / $6,529.56	Facility		$4,625.10	$5,441.30	$6,529.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,934.25 / $2,318.44 / $3,748.02	Professional		$1,934.25	$2,318.44	$3,748.02