Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.56 / $3,839.00 / $8,240.00	Facility		$1,115.56	$3,839.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.72 / $1,100.85 / $1,667.74	Professional		$966.72	$1,100.85	$1,667.74
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 $1,075.70 / $1,159.11 / $1,967.53	Professional		$1,075.70	$1,159.11	$1,967.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,215.80 / $1,215.80	Facility		$1,215.80	$1,215.80	$1,215.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.81 / $1,302.08 / $2,167.71	Professional		$1,014.81	$1,302.08	$2,167.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.26 / $1,721.37 / $2,192.35	Professional		$1,269.26	$1,721.37	$2,192.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,195.05 / $3,195.05 / $3,406.72	Facility		$3,195.05	$3,195.05	$3,406.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.73 / $1,190.73 / $10,770.50	Professional		$1,190.73	$1,190.73	$10,770.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,115.56 / $4,761.00 / $8,404.00	Facility		$1,115.56	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $998.59 / $1,201.45 / $4,831.00	Professional		$998.59	$1,201.45	$4,831.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.30 / $1,342.30 / $2,186.60	Professional		$1,342.30	$1,342.30	$2,186.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.80 / $1,215.80 / $1,215.80	Facility		$1,215.80	$1,215.80	$1,215.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.81 / $1,331.40 / $2,230.11	Professional		$1,014.81	$1,331.40	$2,230.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,049.13 / $1,049.13 / $1,156.22	Facility		$1,049.13	$1,049.13	$1,156.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,014.89 / $1,056.09 / $1,156.22	Professional		$1,014.89	$1,056.09	$1,156.22
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 $998.25 / $1,299.86 / $2,111.10	Professional		$998.25	$1,299.86	$2,111.10