Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $5,254.00 / $11,497.46	Facility		$594.00	$5,254.00	$11,497.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,686.43 / $2,458.41	Professional		$338.98	$1,686.43	$2,458.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,451.66 / $2,858.52 / $3,728.22	Professional		$1,451.66	$2,858.52	$3,728.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $791.56 / $3,243.75	Professional		$386.75	$791.56	$3,243.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,692.81 / $2,692.81 / $2,771.83	Professional		$2,692.81	$2,692.81	$2,771.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,569.26 / $6,569.26 / $10,720.39	Facility		$6,569.26	$6,569.26	$10,720.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.11 / $413.11 / $619.32	Professional		$413.11	$413.11	$619.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $5,868.00 / $11,182.00	Facility		$1,278.00	$5,868.00	$11,182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $358.77 / $1,686.43 / $3,429.42	Professional		$358.77	$1,686.43	$3,429.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.29 / $644.98 / $3,487.50	Professional		$322.29	$644.98	$3,487.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,265.00 / $6,265.00 / $6,265.00	Facility		$6,265.00	$6,265.00	$6,265.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $391.56 / $791.56 / $3,243.75	Professional		$391.56	$791.56	$3,243.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $334.70 / $401.17 / $2,254.21	Facility		$334.70	$401.17	$2,254.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $401.17 / $1,900.71	Professional		$334.70	$401.17	$1,900.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,895.25 / $2,595.69 / $3,983.05	Professional		$1,895.25	$2,595.69	$3,983.05