Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.91 / $3,830.00 / $8,240.00	Facility		$1,208.91	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.01 / $1,208.91 / $1,830.16	Professional		$1,050.01	$1,208.91	$1,830.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,173.76 / $1,268.22 / $2,161.50	Professional		$1,173.76	$1,268.22	$2,161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.77 / $1,439.52 / $2,349.10	Professional		$1,111.77	$1,439.52	$2,349.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.27 / $1,876.37 / $2,387.56	Professional		$1,382.27	$1,876.37	$2,387.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $1,872.50 / $1,872.50	Facility		$1,872.50	$1,872.50	$1,872.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,667.50 / $11,667.50 / $11,667.50	Professional		$11,667.50	$11,667.50	$11,667.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,208.91 / $4,761.00 / $8,404.00	Facility		$1,208.91	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,058.82 / $1,295.92 / $5,100.00	Professional		$1,058.82	$1,295.92	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.80 / $1,442.80 / $2,402.50	Professional		$1,442.80	$1,442.80	$2,402.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.95 / $1,325.95 / $1,325.95	Facility		$1,325.95	$1,325.95	$1,325.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.77 / $1,464.47 / $2,456.04	Professional		$1,111.77	$1,464.47	$2,456.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,145.51 / $1,145.51 / $1,367.20	Facility		$1,145.51	$1,145.51	$1,367.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,107.11 / $1,154.68 / $1,367.20	Professional		$1,107.11	$1,154.68	$1,367.20
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 $1,115.71 / $1,425.34 / $2,231.61	Professional		$1,115.71	$1,425.34	$2,231.61