Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.97 / $3,627.00 / $7,175.00	Facility		$1,164.97	$3,627.00	$7,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $553.77 / $582.49 / $582.49	Facility	52	$553.77	$582.49	$582.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,211.20 / $1,978.71	Professional		$1,062.39	$1,211.20	$1,978.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,259.03 / $1,306.54 / $1,306.54	Professional		$1,259.03	$1,306.54	$1,306.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.83 / $1,444.85 / $2,521.94	Professional		$1,127.83	$1,444.85	$2,521.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.05 / $1,935.06 / $2,004.54	Professional		$1,505.05	$1,935.06	$2,004.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $7,067.21 / $9,942.69	Facility		$1,872.50	$7,067.21	$9,942.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,017.00	Facility		$1,020.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $582.49 / $582.49 / $582.49	Facility	52	$582.49	$582.49	$582.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,101.77 / $1,367.95 / $3,052.94	Professional		$1,101.77	$1,367.95	$3,052.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.10 / $1,400.10 / $1,467.50	Professional		$1,400.10	$1,400.10	$1,467.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,429.69 / $1,429.69 / $1,429.69	Facility		$1,429.69	$1,429.69	$1,429.69
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,133.07 / $1,133.07 / $1,133.07	Facility	52	$1,133.07	$1,133.07	$1,133.07
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $141.63 / $141.63 / $141.63	Facility	AS	$141.63	$141.63	$141.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.66 / $1,458.26 / $2,641.34	Professional		$1,165.66	$1,458.26	$2,641.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,205.46 / $1,237.28 / $1,237.28	Facility		$1,205.46	$1,237.28	$1,237.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,205.46 / $1,237.28 / $1,307.03	Professional		$1,205.46	$1,237.28	$1,307.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $3,331.00 / $6,000.00	Facility		$1,384.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.09 / $1,418.37 / $2,509.78	Professional		$1,126.09	$1,418.37	$2,509.78