Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.87 / $1,566.87 / $6,063.79	Facility		$1,566.87	$1,566.87	$6,063.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.04 / $1,659.04 / $2,400.40	Professional		$1,522.04	$1,659.04	$2,400.40
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 $2,671.67 / $3,508.65 / $3,508.65	Professional		$2,671.67	$3,508.65	$3,508.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,141.78	Facility		$2,117.90	$2,117.90	$4,141.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,123.88	Professional		$1,546.07	$1,546.07	$4,123.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,810.44 / $4,141.78 / $7,869.38	Professional		$3,810.44	$4,141.78	$7,869.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,369.23 / $2,369.23 / $2,806.92	Professional		$2,369.23	$2,369.23	$2,806.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,566.87 / $1,566.87 / $6,063.79	Facility		$1,566.87	$1,566.87	$6,063.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,443.98 / $1,659.04 / $2,851.70	Professional		$1,443.98	$1,659.04	$2,851.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,805.40 / $5,648.80 / $8,160.10	Professional		$2,805.40	$5,648.80	$8,160.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,141.78	Facility		$2,117.90	$2,117.90	$4,141.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,123.88	Professional		$1,546.07	$1,546.07	$4,123.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,676.62 / $1,676.62 / $3,339.59	Facility		$1,676.62	$1,676.62	$3,339.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,676.62 / $3,339.59 / $3,942.21	Professional		$1,676.62	$3,339.59	$3,942.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.08 / $2,105.19 / $3,164.15	Professional		$1,641.08	$2,105.19	$3,164.15