Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.60 / $5,252.00 / $10,527.00	Facility		$1,258.60	$5,252.00	$10,527.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $855.05 / $943.96 / $943.96	Facility	54	$855.05	$943.96	$943.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,175.80 / $1,995.54	Professional		$992.21	$1,175.80	$1,995.54
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 $1,156.09 / $1,199.73 / $2,133.80	Professional		$1,156.09	$1,199.73	$2,133.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.91 / $1,220.07 / $2,104.34	Professional		$926.91	$1,220.07	$2,104.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.70 / $1,382.70 / $1,783.03	Professional		$1,382.70	$1,382.70	$1,783.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,108.06 / $8,497.32 / $24,810.90	Facility		$5,108.06	$8,497.32	$24,810.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.35 / $1,416.85 / $2,378.05	Professional		$1,256.35	$1,416.85	$2,378.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,742.00 / $11,182.00	Facility		$1,301.00	$5,742.00	$11,182.00
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $943.96 / $943.96 / $943.96	Facility	54	$943.96	$943.96	$943.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $993.25 / $1,278.04 / $3,738.07	Professional		$993.25	$1,278.04	$3,738.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.70 / $1,118.70 / $1,415.63	Professional		$1,118.70	$1,118.70	$1,415.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $946.88 / $1,222.81 / $2,104.34	Professional		$946.88	$1,222.81	$2,104.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,131.94 / $1,131.94 / $1,203.79	Facility		$1,131.94	$1,131.94	$1,203.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,131.94 / $1,203.79	Professional		$1,107.70	$1,131.94	$1,203.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $3,914.00 / $8,026.00	Facility		$2,228.00	$3,914.00	$8,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.52 / $1,337.34 / $2,236.04	Professional		$971.52	$1,337.34	$2,236.04