Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.24 / $2,747.00 / $8,104.00	Facility		$871.24	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $863.84 / $1,405.35	Professional		$663.26	$863.84	$1,405.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $862.16 / $894.70 / $1,569.73	Professional		$862.16	$894.70	$1,569.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.63 / $854.03 / $1,390.09	Professional		$641.63	$854.03	$1,390.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.03 / $1,045.03 / $1,347.60	Professional		$1,045.03	$1,045.03	$1,347.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.15 / $5,903.25 / $9,216.86	Facility		$1,532.15	$5,903.25	$9,216.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.10 / $1,079.91 / $1,674.61	Professional		$1,000.10	$1,079.91	$1,674.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,247.00	Facility		$832.00	$3,839.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $678.14 / $886.18 / $1,801.05	Professional		$678.14	$886.18	$1,801.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.90 / $1,147.90 / $1,628.24	Professional		$1,147.90	$1,147.90	$1,628.24
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $678.00 / $678.00	Facility		$678.00	$678.00	$678.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $650.25 / $867.23 / $1,368.74	Professional		$650.25	$867.23	$1,368.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $778.82 / $854.39 / $1,095.55	Facility		$778.82	$854.39	$1,095.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $773.86 / $847.72 / $1,095.55	Professional		$773.86	$847.72	$1,095.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.54 / $1,004.02 / $1,634.97	Professional		$759.54	$1,004.02	$1,634.97