Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.58 / $5,823.00 / $10,527.00	Facility		$1,220.58	$5,823.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,220.58 / $1,835.64	Professional		$1,072.81	$1,220.58	$1,835.64
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 $1,114.46 / $1,156.52 / $2,076.67	Professional		$1,114.46	$1,156.52	$2,076.67
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 $893.67 / $1,235.60 / $2,085.00	Professional		$893.67	$1,235.60	$2,085.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.56 / $1,332.56 / $1,718.36	Professional		$1,332.56	$1,332.56	$1,718.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,819.79 / $9,163.94 / $12,913.30	Facility		$4,819.79	$9,163.94	$12,913.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.53 / $1,368.29 / $1,385.99	Professional		$1,288.53	$1,368.29	$1,385.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,958.00 / $10,346.95	Facility		$1,301.00	$5,958.00	$10,346.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,072.82 / $1,284.56 / $3,096.11	Professional		$1,072.82	$1,284.56	$3,096.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,072.00 / $1,363.64	Professional		$1,072.00	$1,072.00	$1,363.64
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 $918.20 / $1,248.25 / $2,118.33	Professional		$918.20	$1,248.25	$2,118.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.03 / $1,096.03 / $1,650.10	Facility		$1,096.03	$1,096.03	$1,650.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,072.48 / $1,096.03 / $1,650.10	Professional		$1,072.48	$1,096.03	$1,650.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,914.00 / $7,508.00	Facility		$1,843.00	$3,914.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.17 / $1,309.29 / $2,191.02	Professional		$1,031.17	$1,309.29	$2,191.02