Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $7,799.00	Facility		$882.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.86 / $816.67 / $1,276.90	Professional		$702.86	$816.67	$1,276.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $820.31 / $851.27 / $1,496.68	Professional		$820.31	$851.27	$1,496.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $926.03	Facility		$926.03	$926.03	$926.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.49 / $1,006.04 / $1,638.36	Professional		$746.49	$1,006.04	$1,638.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $968.31 / $1,313.20 / $1,672.53	Professional		$968.31	$1,313.20	$1,672.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,729.53 / $11,729.53 / $11,729.53	Facility		$11,729.53	$11,729.53	$11,729.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.80 / $911.80 / $911.80	Professional		$911.80	$911.80	$911.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $706.70 / $930.53 / $4,266.12	Professional		$706.70	$930.53	$4,266.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $866.10 / $866.10 / $1,667.00	Professional		$866.10	$866.10	$1,667.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $926.03 / $926.03 / $926.03	Facility		$926.03	$926.03	$926.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $752.34 / $1,028.44 / $1,648.44	Professional		$752.34	$1,028.44	$1,648.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $721.84 / $799.08 / $799.08	Facility		$721.84	$799.08	$799.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $721.84 / $799.08 / $845.89	Professional		$721.84	$799.08	$845.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $20,612.20	Facility		$2,468.00	$6,885.00	$20,612.20
United Facility/Professional Professional Modifier Low / Median / High Price $754.93 / $1,032.91 / $1,631.47	Professional		$754.93	$1,032.91	$1,631.47