Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,700.00 / $8,247.00	Facility		$976.00	$3,700.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.27 / $619.20 / $1,236.07	Professional		$535.27	$619.20	$1,236.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $636.39 / $660.41 / $1,138.95	Professional		$636.39	$660.41	$1,138.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $721.65	Facility		$721.65	$721.65	$721.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.51 / $751.56 / $1,264.08	Professional		$552.51	$751.56	$1,264.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $754.44 / $1,015.31 / $1,303.11	Professional		$754.44	$1,015.31	$1,303.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,225.81 / $7,922.29 / $11,203.30	Facility		$5,225.81	$7,922.29	$11,203.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $692.38 / $810.30	Professional		$612.66	$692.38	$810.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $535.27 / $702.73 / $2,522.00	Professional		$535.27	$702.73	$2,522.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $742.80 / $742.80 / $1,304.90	Professional		$742.80	$742.80	$1,304.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $721.65	Facility		$721.65	$721.65	$721.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $559.74 / $766.03 / $1,264.08	Professional		$559.74	$766.03	$1,264.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $628.29	Facility		$616.27	$616.27	$628.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.17 / $616.39 / $655.32	Professional		$600.17	$616.39	$655.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.51 / $753.92 / $1,176.55	Professional		$559.51	$753.92	$1,176.55