Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.47 / $3,142.00 / $7,799.00	Facility		$942.47	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.70 / $874.22 / $1,266.89	Professional		$804.70	$874.22	$1,266.89
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 $866.39 / $899.09 / $1,251.60	Professional		$866.39	$899.09	$1,251.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.54 / $996.54 / $996.54	Facility		$996.54	$996.54	$996.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.63 / $1,062.31 / $1,782.28	Professional		$840.63	$1,062.31	$1,782.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.81 / $1,401.84 / $1,794.30	Professional		$1,038.81	$1,401.84	$1,794.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,565.63 / $14,565.63 / $14,565.63	Facility		$14,565.63	$14,565.63	$14,565.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.36 / $1,199.11 / $1,228.69	Professional		$982.36	$1,199.11	$1,228.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $804.70 / $952.62 / $3,748.00	Professional		$804.70	$952.62	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.70 / $1,211.20 / $1,878.70	Professional		$1,200.70	$1,211.20	$1,878.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $996.54 / $996.54 / $996.54	Facility		$996.54	$996.54	$996.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $842.37 / $1,064.94 / $1,831.37	Professional		$842.37	$1,064.94	$1,831.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $864.88 / $864.88 / $1,112.34	Facility		$864.88	$864.88	$1,112.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $845.11 / $864.88 / $1,112.34	Professional		$845.11	$864.88	$1,112.34
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 $802.59 / $1,070.13 / $1,690.25	Professional		$802.59	$1,070.13	$1,690.25