Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.17 / $3,142.00 / $7,799.00	Facility		$896.17	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.18 / $867.78 / $1,371.62	Professional		$776.18	$867.78	$1,371.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $865.73 / $931.01 / $1,580.43	Professional		$865.73	$931.01	$1,580.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Facility		$977.70	$977.70	$977.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,061.75 / $1,741.39	Professional		$817.16	$1,061.75	$1,741.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.46 / $1,386.10 / $1,766.07	Professional		$1,022.46	$1,386.10	$1,766.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,756.75 / $6,756.75 / $6,756.75	Professional		$6,756.75	$6,756.75	$6,756.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.18 / $968.66 / $2,843.00	Professional		$776.18	$968.66	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.20 / $1,080.20 / $1,764.80	Professional		$1,080.20	$1,080.20	$1,764.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Facility		$977.70	$977.70	$977.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,072.31 / $1,790.03	Professional		$817.16	$1,072.31	$1,790.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $843.76 / $843.76 / $944.20	Facility		$843.76	$843.76	$944.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.87 / $848.88 / $944.20	Professional		$816.87	$848.88	$944.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.64 / $1,043.89 / $1,742.95	Professional		$787.64	$1,043.89	$1,742.95