Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $3,839.00 / $8,240.00	Facility		$1,271.59	$3,839.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.41 / $1,224.23 / $1,936.90	Professional		$1,080.41	$1,224.23	$1,936.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $1,275.36 / $2,250.54	Professional		$1,229.00	$1,275.36	$2,250.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.14 / $1,472.48 / $2,427.23	Professional		$1,100.14	$1,472.48	$2,427.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.26 / $1,967.32 / $2,505.00	Professional		$1,450.26	$1,967.32	$2,505.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,464.31 / $19,464.31 / $19,464.31	Facility		$19,464.31	$19,464.31	$19,464.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.83 / $1,280.83 / $1,445.85	Professional		$1,280.83	$1,280.83	$1,445.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $4,761.00 / $8,404.00	Facility		$1,271.59	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,102.15 / $1,275.33 / $5,471.00	Professional		$1,102.15	$1,275.33	$5,471.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.09 / $1,081.09 / $2,506.10	Professional		$1,081.09	$1,081.09	$2,506.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.14 / $1,512.41 / $2,470.92	Professional		$1,100.14	$1,512.41	$2,470.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $962.64 / $1,197.28 / $1,197.28	Facility		$962.64	$1,197.28	$1,197.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $962.64 / $1,197.28 / $1,267.03	Professional		$962.64	$1,197.28	$1,267.03
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 $1,082.86 / $1,485.86 / $2,318.80	Professional		$1,082.86	$1,485.86	$2,318.80