Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,927.76 / $1,927.76 / $7,460.43	Facility		$1,927.76	$1,927.76	$7,460.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.31 / $2,041.16 / $2,630.39	Professional		$1,689.31	$2,041.16	$2,630.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,237.58 / $3,237.58 / $3,237.58	Professional		$3,237.58	$3,237.58	$3,237.58
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 $3,287.02 / $4,316.77 / $4,316.77	Professional		$3,287.02	$4,316.77	$4,316.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,850.00 / $3,060.59 / $4,316.77	Facility		$2,850.00	$3,060.59	$4,316.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $5,127.38	Professional		$2,234.23	$2,234.23	$5,127.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,971.43 / $4,316.77 / $8,201.86	Professional		$3,971.43	$4,316.77	$8,201.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,914.91 / $2,914.91 / $3,794.04	Professional		$2,914.91	$2,914.91	$3,794.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,927.76 / $1,927.76 / $7,460.43	Facility		$1,927.76	$1,927.76	$7,460.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,689.31 / $2,116.76 / $3,500.00	Professional		$1,689.31	$2,116.76	$3,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.30 / $6,155.10 / $8,504.79	Professional		$5,352.30	$6,155.10	$8,504.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,850.00 / $3,060.59 / $4,316.77	Facility		$2,850.00	$3,060.59	$4,316.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $5,127.38	Professional		$2,234.23	$2,234.23	$5,127.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,086.32 / $4,108.77 / $4,108.77	Facility		$3,086.32	$4,108.77	$4,108.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,086.32 / $4,108.77 / $4,209.64	Professional		$3,086.32	$4,108.77	$4,209.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,946.45 / $2,333.06 / $3,892.90	Professional		$1,946.45	$2,333.06	$3,892.90