Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.66 / $5,511.00 / $11,590.00	Facility		$1,277.66	$5,511.00	$11,590.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $523.96 / $558.36 / $1,170.45	Facility	52	$523.96	$558.36	$1,170.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,068.47 / $3,316.65	Professional		$907.70	$1,068.47	$3,316.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,007.86 / $1,045.89 / $1,045.89	Professional		$1,007.86	$1,045.89	$1,045.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.18 / $1,266.20 / $2,029.88	Professional		$902.18	$1,266.20	$2,029.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.08 / $1,598.87 / $1,615.27	Professional		$1,205.08	$1,598.87	$1,615.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,772.87 / $11,500.24 / $20,014.21	Facility		$6,772.87	$11,500.24	$20,014.21
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $8,116.12 / $8,116.12 / $11,549.58	Facility	52	$8,116.12	$8,116.12	$11,549.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $6,438.00 / $12,474.00	Facility		$1,278.00	$6,438.00	$12,474.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $558.36 / $558.36 / $1,170.45	Facility	52	$558.36	$558.36	$1,170.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,262.83 / $3,552.10	Professional		$907.79	$1,262.83	$3,552.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,003.80 / $2,708.10	Professional		$5.00	$1,003.80	$2,708.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $986.50 / $1,291.01 / $2,103.54	Professional		$986.50	$1,291.01	$2,103.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $1,009.72 / $1,009.72	Facility		$814.67	$1,009.72	$1,009.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $814.67 / $1,009.72 / $1,075.33	Professional		$814.67	$1,009.72	$1,075.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,718.00 / $3,752.00 / $7,000.00	Facility		$1,718.00	$3,752.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.43 / $1,293.45 / $1,963.74	Professional		$845.43	$1,293.45	$1,963.74