Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,785.25 / $3,785.25 / $14,648.90	Facility		$3,785.25	$3,785.25	$14,648.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,317.03 / $4,007.91 / $5,164.93	Professional		$3,317.03	$4,007.91	$5,164.93
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 $6,454.22 / $8,476.19 / $8,476.19	Professional		$6,454.22	$8,476.19	$8,476.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $8,476.18	Facility		$6,042.00	$6,042.00	$8,476.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $7,422.04	Professional		$4,410.66	$4,410.66	$7,422.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,798.09 / $8,476.18 / $16,104.74	Professional		$7,798.09	$8,476.18	$16,104.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,723.54 / $5,723.54 / $5,723.54	Professional		$5,723.54	$5,723.54	$5,723.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,785.25 / $3,785.25 / $14,648.90	Facility		$3,785.25	$3,785.25	$14,648.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,317.03 / $4,007.91 / $6,889.16	Professional		$3,317.03	$4,007.91	$6,889.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,741.20 / $11,560.30 / $16,699.59	Professional		$5,741.20	$11,560.30	$16,699.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $8,476.18	Facility		$6,042.00	$6,042.00	$8,476.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $10,068.00	Professional		$4,410.66	$4,410.66	$10,068.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,060.12 / $8,067.77 / $8,067.77	Facility		$6,060.12	$8,067.77	$8,067.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,060.12 / $8,067.77 / $8,265.95	Professional		$6,060.12	$8,067.77	$8,265.95
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.38 / $4,777.43 / $7,405.82	Professional		$3,870.38	$4,777.43	$7,405.82