Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,838.00 / $8,421.00	Facility		$954.00	$3,838.00	$8,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.27 / $759.54 / $1,218.53	Professional		$681.27	$759.54	$1,218.53
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 $763.44 / $792.25 / $1,380.64	Professional		$763.44	$792.25	$1,380.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $863.75 / $863.75	Facility		$863.75	$863.75	$863.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.49 / $915.27 / $1,520.56	Professional		$701.49	$915.27	$1,520.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.16 / $1,225.38 / $1,561.72	Professional		$904.16	$1,225.38	$1,561.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,251.65 / $13,251.65 / $14,914.85	Facility		$13,251.65	$13,251.65	$14,914.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,288.50 / $9,288.50 / $9,288.50	Professional		$9,288.50	$9,288.50	$9,288.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,432.00 / $10,203.00	Facility		$1,013.00	$4,432.00	$10,203.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $681.27 / $818.85 / $2,843.00	Professional		$681.27	$818.85	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $860.90 / $1,008.32 / $1,553.20	Professional		$860.90	$1,008.32	$1,553.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $863.75 / $863.75	Facility		$863.75	$863.75	$863.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $701.49 / $946.43 / $1,531.83	Professional		$701.49	$946.43	$1,531.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $741.22 / $741.22	Facility		$731.14	$741.22	$741.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $718.63 / $741.22 / $786.56	Professional		$718.63	$741.22	$786.56
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 $671.23 / $949.50 / $1,410.32	Professional		$671.23	$949.50	$1,410.32