Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.42 / $3,839.00 / $8,113.00	Facility		$1,133.42	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,141.17 / $1,454.82	Professional		$1,004.66	$1,141.17	$1,454.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,169.22 / $1,213.33 / $1,732.65	Professional		$1,169.22	$1,213.33	$1,732.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.58 / $1,378.80 / $2,327.86	Professional		$937.58	$1,378.80	$2,327.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,635.46 / $2,635.46 / $2,635.46	Facility		$2,635.46	$2,635.46	$2,635.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.35 / $1,823.68 / $2,351.35	Professional		$1,415.35	$1,823.68	$2,351.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,844.15 / $9,844.15 / $9,844.15	Facility		$9,844.15	$9,844.15	$9,844.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $977.52 / $1,211.27 / $4,412.00	Professional		$977.52	$1,211.27	$4,412.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $890.10 / $890.10 / $890.10	Facility		$890.10	$890.10	$890.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,182.30 / $2,885.00	Professional		$5.00	$1,182.30	$2,885.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $952.82 / $1,359.15 / $2,327.86	Professional		$952.82	$1,359.15	$2,327.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $878.97 / $1,106.70 / $1,106.70	Facility		$878.97	$1,106.70	$1,106.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $878.97 / $1,106.70 / $1,166.63	Professional		$878.97	$1,106.70	$1,166.63
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.81 / $1,265.04 / $2,230.27	Professional		$957.81	$1,265.04	$2,230.27