Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.71 / $3,839.00 / $8,240.00	Facility		$1,307.71	$3,839.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $1,271.82 / $2,016.93	Professional		$1,131.77	$1,271.82	$2,016.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,267.04 / $1,314.85 / $2,277.65	Professional		$1,267.04	$1,314.85	$2,277.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.77 / $1,431.77 / $1,431.77	Facility		$1,431.77	$1,431.77	$1,431.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,521.25 / $2,514.25	Professional		$1,164.05	$1,521.25	$2,514.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.07 / $2,030.99 / $2,587.57	Professional		$1,498.07	$2,030.99	$2,587.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27,178.06 / $27,178.06 / $27,178.06	Facility		$27,178.06	$27,178.06	$27,178.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.91 / $1,445.91 / $2,150.87	Professional		$1,445.91	$1,445.91	$2,150.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,404.00	Facility		$1,283.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $1,435.55 / $3,883.89	Professional		$1,131.77	$1,435.55	$3,883.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.70 / $1,337.70 / $2,568.10	Professional		$1,337.70	$1,337.70	$2,568.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,431.77 / $1,431.77 / $1,431.77	Facility		$1,431.77	$1,431.77	$1,431.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,553.91 / $2,541.09	Professional		$1,164.05	$1,553.91	$2,541.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,109.40 / $1,231.39 / $1,231.39	Facility		$1,109.40	$1,231.39	$1,231.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,109.40 / $1,231.39 / $1,305.07	Professional		$1,109.40	$1,231.39	$1,305.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,899.00 / $4,563.00 / $8,261.00	Facility		$1,899.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.78 / $1,520.52 / $2,428.02	Professional		$1,121.78	$1,520.52	$2,428.02