Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.22 / $3,066.00 / $7,799.00	Facility		$917.22	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $851.33 / $1,219.17	Professional		$785.20	$851.33	$1,219.17
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 $851.92 / $884.07 / $884.07	Professional		$851.92	$884.07	$884.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $974.93	Facility		$974.93	$974.93	$974.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.77 / $1,020.70 / $1,739.46	Professional		$798.77	$1,020.70	$1,739.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.61 / $1,375.93 / $1,759.42	Professional		$1,018.61	$1,375.93	$1,759.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,813.52 / $17,813.52 / $26,827.67	Facility		$17,813.52	$17,813.52	$26,827.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.67 / $873.67 / $873.67	Professional		$873.67	$873.67	$873.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $926.24 / $4,410.18	Professional		$785.20	$926.24	$4,410.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $993.60 / $993.60 / $1,823.10	Professional		$993.60	$993.60	$1,823.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $974.93 / $974.93 / $974.93	Facility		$974.93	$974.93	$974.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $799.41 / $1,038.33 / $1,782.30	Professional		$799.41	$1,038.33	$1,782.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $845.84 / $845.84 / $895.64	Facility		$845.84	$845.84	$895.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $825.11 / $845.84 / $905.25	Professional		$825.11	$845.84	$905.25
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 $751.83 / $1,005.10 / $1,636.13	Professional		$751.83	$1,005.10	$1,636.13