Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.15 / $6,012.00 / $14,616.34	Facility		$1,420.15	$6,012.00	$14,616.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.40 / $1,572.06 / $2,616.00	Professional		$1,283.40	$1,572.06	$2,616.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,222.29 / $1,233.66 / $2,187.31	Professional		$1,222.29	$1,233.66	$2,187.31
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 $1,295.63 / $1,344.52 / $2,414.29	Professional		$1,295.63	$1,344.52	$2,414.29
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 $1,038.95 / $1,543.15 / $2,545.57	Professional		$1,038.95	$1,543.15	$2,545.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.90 / $1,548.90 / $1,997.34	Professional		$1,548.90	$1,548.90	$1,997.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,078.10 / $12,156.20 / $24,623.92	Facility		$6,078.10	$12,156.20	$24,623.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.17 / $1,601.47 / $2,094.52	Professional		$1,492.17	$1,601.47	$2,094.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $6,432.00 / $14,381.00	Facility		$1,384.00	$6,432.00	$14,381.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,286.30 / $1,602.22 / $4,074.76	Professional		$1,286.30	$1,602.22	$4,074.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.80 / $1,292.80 / $2,444.58	Professional		$1,292.80	$1,292.80	$2,444.58
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 $1,068.29 / $1,543.15 / $2,545.71	Professional		$1,068.29	$1,543.15	$2,545.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,274.83 / $1,274.83 / $1,749.96	Facility		$1,274.83	$1,274.83	$1,749.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,247.34 / $1,274.83 / $1,749.96	Professional		$1,247.34	$1,274.83	$1,749.96
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 $1,258.08 / $1,522.96 / $2,531.21	Professional		$1,258.08	$1,522.96	$2,531.21