Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.58 / $5,424.00 / $10,247.00	Facility		$1,220.58	$5,424.00	$10,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.57 / $1,304.46 / $2,758.06	Professional		$1,105.57	$1,304.46	$2,758.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.46 / $182.46 / $1,051.38	Professional		$182.46	$182.46	$1,051.38
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 / $1,336.23 / $2,118.33	Professional		$893.67	$1,336.23	$2,118.33
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 $2,674.99 / $8,043.55 / $18,031.72	Facility		$2,674.99	$8,043.55	$18,031.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.56 / $1,377.14 / $1,863.23	Professional		$1,283.56	$1,377.14	$1,863.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,958.00 / $10,247.00	Facility		$1,301.00	$5,958.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,105.57 / $1,386.53 / $3,598.09	Professional		$1,105.57	$1,386.53	$3,598.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,398.30	Professional		$1,225.00	$1,225.00	$1,398.30
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 / $1,336.23 / $2,187.91	Professional		$918.20	$1,336.23	$2,187.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,095.72 / $1,095.72 / $1,787.19	Facility		$1,095.72	$1,095.72	$1,787.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,072.17 / $1,095.72 / $1,787.19	Professional		$1,072.17	$1,095.72	$1,787.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,090.53 / $12,948.01	Facility		$2,468.00	$6,090.53	$12,948.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.26 / $1,320.62 / $2,190.33	Professional		$1,081.26	$1,320.62	$2,190.33