Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,994.00 / $10,915.00	Facility		$1,301.00	$3,994.00	$10,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.69 / $1,723.19 / $2,794.55	Professional		$1,500.69	$1,723.19	$2,794.55
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 $1,670.44 / $1,733.48 / $3,087.03	Professional		$1,670.44	$1,733.48	$3,087.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.69 / $2,048.65 / $3,358.33	Professional		$1,604.69	$2,048.65	$3,358.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,967.02 / $2,670.18 / $3,397.58	Professional		$1,967.02	$2,670.18	$3,397.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,660.15 / $17,464.05 / $27,008.96	Facility		$15,660.15	$17,464.05	$27,008.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,866.55 / $2,174.57 / $2,826.59	Professional		$1,866.55	$2,174.57	$2,826.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,734.00 / $10,527.00	Facility		$1,020.00	$4,734.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,500.69 / $1,820.00 / $5,132.99	Professional		$1,500.69	$1,820.00	$5,132.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.90 / $2,206.25 / $3,413.60	Professional		$1,974.90	$2,206.25	$3,413.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.54 / $2,081.50 / $3,494.03	Professional		$1,606.54	$2,081.50	$3,494.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,629.39 / $1,629.39 / $1,736.04	Facility		$1,629.39	$1,629.39	$1,736.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,574.05 / $1,642.34 / $1,736.04	Professional		$1,574.05	$1,642.34	$1,736.04
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 $1,556.43 / $2,031.37 / $3,175.84	Professional		$1,556.43	$2,031.37	$3,175.84