Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.60 / $3,839.00 / $10,009.00	Facility		$1,271.60	$3,839.00	$10,009.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.35 / $1,250.35 / $2,305.37	Professional		$1,101.35	$1,250.35	$2,305.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,230.16 / $1,556.77 / $2,248.28	Professional		$1,230.16	$1,556.77	$2,248.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $1,388.99 / $1,388.99	Facility		$1,388.99	$1,388.99	$1,388.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.19 / $1,486.97 / $2,470.94	Professional		$1,153.19	$1,486.97	$2,470.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.79 / $1,969.76 / $2,509.37	Professional		$1,452.79	$1,969.76	$2,509.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,722.62 / $20,422.54 / $35,235.94	Facility		$5,722.62	$20,422.54	$35,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,463.28 / $1,604.51 / $1,916.80	Professional		$1,463.28	$1,604.51	$1,916.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,101.35 / $4,734.00 / $10,915.00	Facility		$1,101.35	$4,734.00	$10,915.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,101.36 / $1,377.66 / $3,494.00	Professional		$1,101.36	$1,377.66	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.09 / $1,611.99 / $2,508.69	Professional		$1,290.09	$1,611.99	$2,508.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,388.99 / $1,388.99 / $1,388.99	Facility		$1,388.99	$1,388.99	$1,388.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.19 / $1,523.64 / $2,541.38	Professional		$1,153.19	$1,523.64	$2,541.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,196.99 / $1,196.99 / $1,611.86	Facility		$1,196.99	$1,196.99	$1,611.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.80 / $1,204.30 / $1,611.86	Professional		$1,158.80	$1,204.30	$1,611.86
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 $1,102.71 / $1,449.52 / $2,441.94	Professional		$1,102.71	$1,449.52	$2,441.94