Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.17 / $1,051.17 / $4,068.03	Facility		$1,051.17	$1,051.17	$4,068.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.15 / $1,113.00 / $1,484.01	Professional		$921.15	$1,113.00	$1,484.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,356.55 / $1,356.55 / $1,356.55	Professional		$1,356.55	$1,356.55	$1,356.55
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 $1,792.35 / $2,353.86 / $2,353.86	Professional		$1,792.35	$2,353.86	$2,353.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,353.86	Facility		$1,346.19	$1,346.19	$2,353.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $2,061.12	Professional		$982.72	$982.72	$2,061.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,165.55 / $2,353.86 / $4,472.33	Professional		$2,165.55	$2,353.86	$4,472.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,589.44 / $1,589.44 / $1,953.89	Professional		$1,589.44	$1,589.44	$1,953.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,051.17 / $1,051.17 / $4,068.03	Facility		$1,051.17	$1,051.17	$4,068.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $921.14 / $1,113.00 / $1,838.95	Professional		$921.14	$1,113.00	$1,838.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,918.50 / $3,356.30 / $4,637.50	Professional		$2,918.50	$3,356.30	$4,637.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,353.86	Facility		$1,346.19	$1,346.19	$2,353.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $2,796.00	Professional		$982.72	$982.72	$2,796.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,682.91 / $2,240.44 / $2,240.44	Facility		$1,682.91	$2,240.44	$2,240.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,682.91 / $2,240.44 / $2,295.44	Professional		$1,682.91	$2,240.44	$2,295.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.35 / $1,276.08 / $2,122.73	Professional		$1,061.35	$1,276.08	$2,122.73