Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.78 / $1,717.78 / $6,647.81	Facility		$1,717.78	$1,717.78	$6,647.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.56 / $1,818.82 / $2,348.17	Professional		$1,457.56	$1,818.82	$2,348.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,317.06 / $2,884.92 / $3,269.58	Professional		$2,317.06	$2,884.92	$3,269.58
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 $2,928.98 / $3,846.56 / $3,846.56	Professional		$2,928.98	$3,846.56	$3,846.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $3,724.55	Facility		$2,160.07	$2,160.07	$3,724.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $3,261.35	Professional		$1,576.85	$1,576.85	$3,261.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,426.59 / $3,724.55 / $7,076.65	Professional		$3,426.59	$3,724.55	$7,076.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,692.59 / $2,692.59 / $3,192.95	Professional		$2,692.59	$2,692.59	$3,192.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,717.78 / $1,717.78 / $6,647.81	Facility		$1,717.78	$1,717.78	$6,647.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,457.55 / $1,886.19 / $2,708.74	Professional		$1,457.55	$1,886.19	$2,708.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.80 / $5,079.80 / $7,338.00	Professional		$2,522.80	$5,079.80	$7,338.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $3,724.55	Facility		$2,160.07	$2,160.07	$3,724.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $4,775.25	Professional		$1,576.85	$1,576.85	$4,775.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,659.94 / $2,659.94 / $3,661.22	Facility		$2,659.94	$2,659.94	$3,661.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,659.94 / $3,661.22 / $3,734.44	Professional		$2,659.94	$3,661.22	$3,734.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.43 / $2,078.92 / $3,199.45	Professional		$1,734.43	$2,078.92	$3,199.45