Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.33 / $4,048.00 / $8,451.00	Facility		$1,163.33	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.52 / $1,123.60 / $1,640.94	Professional		$1,008.52	$1,123.60	$1,640.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,122.19 / $1,202.38 / $2,054.71	Professional		$1,122.19	$1,202.38	$2,054.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,268.30	Facility		$1,268.30	$1,268.30	$1,268.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.67 / $1,376.27 / $2,260.56	Professional		$1,058.67	$1,376.27	$2,260.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.63 / $1,795.51 / $2,286.27	Professional		$1,323.63	$1,795.51	$2,286.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,317.49 / $4,317.49 / $4,317.49	Facility		$4,317.49	$4,317.49	$4,317.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,325.61 / $1,325.61 / $1,325.61	Professional		$1,325.61	$1,325.61	$1,325.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,163.33 / $4,993.00 / $10,247.00	Facility		$1,163.33	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,014.17 / $1,165.84 / $5,520.08	Professional		$1,014.17	$1,165.84	$5,520.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,347.90 / $1,347.90 / $2,285.80	Professional		$1,347.90	$1,347.90	$2,285.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,268.30	Facility		$1,268.30	$1,268.30	$1,268.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.67 / $1,389.30 / $2,325.73	Professional		$1,058.67	$1,389.30	$2,325.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,094.43 / $1,094.43 / $1,260.53	Facility		$1,094.43	$1,094.43	$1,260.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,058.73 / $1,101.95 / $1,260.53	Professional		$1,058.73	$1,101.95	$1,260.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.79 / $1,356.89 / $2,267.73	Professional		$1,032.79	$1,356.89	$2,267.73