Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.00 / $4,761.00 / $8,451.00	Facility		$1,384.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.46 / $1,392.16 / $1,884.37	Professional		$1,286.46	$1,392.16	$1,884.37
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 $1,356.24 / $1,407.42 / $2,494.91	Professional		$1,356.24	$1,407.42	$2,494.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.55 / $1,426.99 / $2,486.12	Professional		$1,087.55	$1,426.99	$2,486.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $782.96 / $1,353.75 / $2,087.31	Professional		$782.96	$1,353.75	$2,087.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,198.12 / $5,198.12 / $5,198.12	Facility		$5,198.12	$5,198.12	$5,198.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,573.93 / $1,612.75 / $1,664.94	Professional		$1,573.93	$1,612.75	$1,664.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $9,617.00	Facility		$1,054.00	$4,993.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,286.46 / $1,491.77 / $7,197.00	Professional		$1,286.46	$1,491.77	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.30 / $1,224.30 / $2,232.16	Professional		$1,224.30	$1,224.30	$2,232.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $1,441.85 / $2,486.12	Professional		$1,121.28	$1,441.85	$2,486.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,265.26 / $1,337.61 / $1,337.61	Facility		$1,265.26	$1,337.61	$1,337.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,265.26 / $1,337.61 / $1,411.76	Professional		$1,265.26	$1,337.61	$1,411.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,502.00 / $6,368.00	Facility		$1,440.00	$3,502.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,173.19 / $1,504.44 / $2,464.36	Professional		$1,173.19	$1,504.44	$2,464.36