Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.12 / $1,912.12 / $7,399.90	Facility		$1,912.12	$1,912.12	$7,399.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,675.61 / $2,024.60 / $2,609.07	Professional		$1,675.61	$2,024.60	$2,609.07
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 $3,260.36 / $4,281.76 / $4,281.76	Professional		$3,260.36	$4,281.76	$4,281.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $4,281.77	Facility		$2,448.80	$2,448.80	$4,281.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $3,749.27	Professional		$1,787.62	$1,787.62	$3,749.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,939.23 / $4,281.77 / $8,135.36	Professional		$3,939.23	$4,281.77	$8,135.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,997.23 / $3,345.13 / $3,425.41	Professional		$2,997.23	$3,345.13	$3,425.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,912.12 / $1,912.12 / $7,399.90	Facility		$1,912.12	$1,912.12	$7,399.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,675.60 / $2,024.60 / $3,480.06	Professional		$1,675.60	$2,024.60	$3,480.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,308.90 / $6,105.20 / $8,435.90	Professional		$5,308.90	$6,105.20	$8,435.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $4,281.77	Facility		$2,448.80	$2,448.80	$4,281.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $5,085.75	Professional		$1,787.62	$1,787.62	$5,085.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,061.28 / $4,075.45 / $4,075.45	Facility		$3,061.28	$4,075.45	$4,075.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,061.28 / $4,075.45 / $4,175.50	Professional		$3,061.28	$4,075.45	$4,175.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,955.12 / $2,321.26 / $3,741.07	Professional		$1,955.12	$2,321.26	$3,741.07