Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.65 / $3,827.78 / $5,646.85	Facility		$1,093.65	$3,827.78	$5,646.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,093.65 / $1,296.18	Professional		$728.00	$1,093.65	$1,296.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,663.42 / $6,055.75 / $9,176.84	Facility		$4,663.42	$6,055.75	$9,176.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,053.15 / $1,053.15 / $1,053.15	Professional		$1,053.15	$1,053.15	$1,053.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.95 / $1,755.24 / $3,949.29	Facility		$903.95	$1,755.24	$3,949.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.85 / $1,524.13 / $3,053.41	Professional		$710.85	$1,524.13	$3,053.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $621.09 / $1,080.15 / $2,281.82	Professional		$621.09	$1,080.15	$2,281.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.44 / $2,587.44 / $2,732.40	Facility		$2,587.44	$2,587.44	$2,732.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $877.56 / $945.00	Professional		$810.11	$877.56	$945.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,147.66 / $3,827.78 / $5,576.28	Facility		$1,147.66	$3,827.78	$5,576.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,107.16 / $5,576.28	Professional		$810.11	$1,107.16	$5,576.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.28 / $2,025.29 / $2,700.38	Professional		$1,998.28	$2,025.29	$2,700.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $943.47 / $2,089.90 / $4,480.07	Facility		$943.47	$2,089.90	$4,480.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.03 / $1,524.13 / $3,053.41	Professional		$1,184.03	$1,524.13	$3,053.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,485.21	Facility		$1,350.19	$1,350.19	$1,485.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,485.21	Professional		$1,350.19	$1,350.19	$1,485.21
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $810.11 / $2,092.79	Professional		$567.08	$810.11	$2,092.79