Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,634.12 / $6,243.60 / $12,356.77	Facility		$2,634.12	$6,243.60	$12,356.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,468.00 / $3,523.21	Professional		$3,264.00	$3,468.00	$3,523.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $6.38 / $8,459.92	Facility		$5.45	$6.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.00 / $1,008.00 / $1,008.00	Professional		$1,008.00	$1,008.00	$1,008.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,978.05 / $7,640.90 / $7,939.80	Facility		$2,978.05	$7,640.90	$7,939.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,634.12 / $4,959.24 / $12,356.77	Facility		$2,634.12	$4,959.24	$12,356.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,468.00 / $3,894.35	Professional		$3,264.00	$3,468.00	$3,894.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.82 / $4,927.28 / $7,948.61	Professional		$2,624.82	$4,927.28	$7,948.61
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $3,696.00	Facility		$3,360.00	$3,360.00	$3,696.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $3,696.00	Professional		$3,360.00	$3,360.00	$3,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,924.22	Professional		$3,400.00	$3,400.00	$4,924.22