Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.83 / $2,818.11 / $10,527.00	Facility		$1,274.83	$2,818.11	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.15 / $1,406.93 / $2,165.17	Professional		$1,234.15	$1,406.93	$2,165.17
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 $1,376.77 / $1,428.72 / $2,505.55	Professional		$1,376.77	$1,428.72	$2,505.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.58 / $1,684.49 / $2,765.67	Professional		$1,304.58	$1,684.49	$2,765.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $2,203.35 / $2,805.08	Professional		$1,624.00	$2,203.35	$2,805.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,857.64 / $17,824.23 / $35,668.28	Facility		$7,857.64	$17,824.23	$35,668.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.24 / $1,541.21 / $2,090.34	Professional		$817.24	$1,541.21	$2,090.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,838.00 / $9,534.00	Facility		$1,216.00	$3,838.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,234.15 / $1,535.27 / $3,579.91	Professional		$1,234.15	$1,535.27	$3,579.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.50 / $1,557.50 / $2,810.10	Professional		$1,557.50	$1,557.50	$2,810.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.52 / $1,554.52 / $1,554.52	Facility		$1,554.52	$1,554.52	$1,554.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.58 / $1,703.62 / $2,863.00	Professional		$1,304.58	$1,703.62	$2,863.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,296.44 / $1,340.85 / $1,340.85	Facility		$1,296.44	$1,340.85	$1,340.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,296.44 / $1,340.85 / $1,418.49	Professional		$1,296.44	$1,340.85	$1,418.49
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 $1,295.76 / $1,610.56 / $2,603.51	Professional		$1,295.76	$1,610.56	$2,603.51