Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.95 / $2,747.00 / $8,240.00	Facility		$955.95	$2,747.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.21 / $917.90 / $1,384.18	Professional		$828.21	$917.90	$1,384.18
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 $923.99 / $994.60 / $1,688.48	Professional		$923.99	$994.60	$1,688.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.59 / $1,099.99 / $1,827.85	Professional		$819.59	$1,099.99	$1,827.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.90 / $1,479.33 / $1,884.29	Professional		$1,090.90	$1,479.33	$1,884.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,808.40 / $10,680.89 / $32,020.43	Facility		$8,808.40	$10,680.89	$32,020.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.13 / $929.13 / $8,931.00	Professional		$929.13	$929.13	$8,931.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,534.00 / $8,404.00	Facility		$976.00	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $828.21 / $1,021.41 / $4,540.60	Professional		$828.21	$1,021.41	$4,540.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.50 / $1,119.50 / $1,875.00	Professional		$1,119.50	$1,119.50	$1,875.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,043.05	Facility		$1,043.05	$1,043.05	$1,043.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $840.50 / $1,130.82 / $1,857.56	Professional		$840.50	$1,130.82	$1,857.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $900.08 / $900.08 / $1,033.76	Facility		$900.08	$900.08	$1,033.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $871.16 / $905.79 / $1,033.76	Professional		$871.16	$905.79	$1,033.76
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 $874.80 / $1,115.86 / $1,725.21	Professional		$874.80	$1,115.86	$1,725.21