Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,894.00 / $11,426.00	Facility		$657.00	$4,894.00	$11,426.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.99 / $2,688.55 / $9,186.51	Professional		$453.99	$2,688.55	$9,186.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,112.06 / $8,248.41 / $12,879.93	Professional		$5,112.06	$8,248.41	$12,879.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.73 / $1,074.13 / $10,587.19	Professional		$491.73	$1,074.13	$10,587.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,296.17 / $8,418.62 / $10,875.20	Professional		$6,296.17	$8,418.62	$10,875.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.16 / $19,846.70 / $41,120.87	Facility		$3,494.16	$19,846.70	$41,120.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.75 / $502.18 / $6,914.94	Professional		$473.75	$502.18	$6,914.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $673.55 / $5,471.06 / $12,395.60	Facility		$673.55	$5,471.06	$12,395.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $468.78 / $2,688.55 / $12,574.70	Professional		$468.78	$2,688.55	$12,574.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $554.60 / $554.60 / $12,981.80	Professional		$554.60	$554.60	$12,981.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $507.19 / $1,193.43 / $10,698.29	Professional		$507.19	$1,193.43	$10,698.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $463.53 / $560.22 / $7,608.72	Facility		$463.53	$560.22	$7,608.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $463.53 / $5,376.44 / $6,014.45	Professional		$463.53	$5,376.44	$6,014.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $7,000.00	Facility		$2,468.00	$4,563.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,183.29 / $7,954.88 / $13,337.16	Professional		$6,183.29	$7,954.88	$13,337.16