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 / $8,451.00	Facility		$954.00	$3,838.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $755.10 / $1,220.47	Professional		$678.25	$755.10	$1,220.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,463.00 / $11,091.00	Facility		$4,150.00	$7,463.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $760.45 / $952.57 / $1,374.22	Professional		$760.45	$952.57	$1,374.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.40 / $860.40 / $860.40	Facility		$860.40	$860.40	$860.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.53 / $911.11 / $1,515.04	Professional		$697.53	$911.11	$1,515.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $900.66 / $1,220.64 / $1,555.68	Professional		$900.66	$1,220.64	$1,555.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,494.31 / $11,505.80 / $39,163.41	Facility		$10,494.31	$11,505.80	$39,163.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.83 / $997.07 / $1,211.92	Professional		$882.83	$997.07	$1,211.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,734.00 / $10,527.00	Facility		$1,013.00	$4,734.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $813.60 / $2,843.00	Professional		$678.25	$813.60	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,004.37 / $1,547.80	Professional		$880.00	$1,004.37	$1,547.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $860.40 / $860.40 / $860.40	Facility		$860.40	$860.40	$860.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $702.24 / $932.64 / $1,524.96	Professional		$702.24	$932.64	$1,524.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $738.27 / $738.27 / $839.52	Facility		$738.27	$738.27	$839.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $715.79 / $741.66 / $839.52	Professional		$715.79	$741.66	$839.52
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 $681.80 / $907.52 / $1,495.68	Professional		$681.80	$907.52	$1,495.68