Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.00 / $4,894.00 / $8,451.00	Facility		$1,099.00	$4,894.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.33 / $979.47 / $1,644.27	Professional		$725.33	$979.47	$1,644.27
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 $949.06 / $984.87 / $1,567.92	Professional		$949.06	$984.87	$1,567.92
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 $735.44 / $962.80 / $1,568.46	Professional		$735.44	$962.80	$1,568.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.04 / $1,157.04 / $1,492.03	Professional		$1,157.04	$1,157.04	$1,492.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,615.60 / $5,496.41 / $10,457.04	Facility		$2,615.60	$5,496.41	$10,457.04
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,215.85 / $3,215.85 / $3,215.85	Facility	50	$3,215.85	$3,215.85	$3,215.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.83 / $1,194.67 / $1,329.26	Professional		$1,103.83	$1,194.67	$1,329.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,534.00	Facility		$1,151.00	$5,350.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,025.19 / $3,264.03	Professional		$750.15	$1,025.19	$3,264.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,010.50 / $1,010.50	Professional		$1,010.50	$1,010.50	$1,010.50
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 $756.87 / $994.53 / $1,543.46	Professional		$756.87	$994.53	$1,543.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $917.04 / $957.22 / $957.22	Facility		$917.04	$957.22	$957.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $917.04 / $957.22 / $1,023.03	Professional		$917.04	$957.22	$1,023.03
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 $767.05 / $953.31 / $1,638.47	Professional		$767.05	$953.31	$1,638.47