Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,838.00 / $9,929.71	Facility		$749.00	$3,838.00	$9,929.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.95 / $640.65 / $1,037.28	Professional		$566.95	$640.65	$1,037.28
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 $644.10 / $806.67 / $1,166.58	Professional		$644.10	$806.67	$1,166.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $729.09 / $729.09	Facility		$729.09	$729.09	$729.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.91 / $771.83 / $1,285.08	Professional		$590.91	$771.83	$1,285.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $763.28 / $1,034.08 / $1,318.39	Professional		$763.28	$1,034.08	$1,318.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,553.40 / $12,553.40 / $13,983.89	Facility		$12,553.40	$12,553.40	$13,983.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.30 / $763.97 / $6,431.75	Professional		$685.30	$763.97	$6,431.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,606.00 / $10,527.00	Facility		$933.25	$4,606.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $686.87 / $3,161.18	Professional		$573.01	$686.87	$3,161.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.70 / $857.73 / $1,315.40	Professional		$739.70	$857.73	$1,315.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $729.09 / $729.09	Facility		$729.09	$729.09	$729.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $594.58 / $789.94 / $1,288.72	Professional		$594.58	$789.94	$1,288.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $620.02 / $624.75 / $624.75	Facility		$620.02	$624.75	$624.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $605.90 / $624.75 / $663.31	Professional		$605.90	$624.75	$663.31
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 $564.99 / $769.46 / $1,200.81	Professional		$564.99	$769.46	$1,200.81