Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.47 / $3,523.55 / $5,382.57	Facility		$1,042.47	$3,523.55	$5,382.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.20 / $1,042.47 / $1,580.00	Professional		$772.20	$1,042.47	$1,580.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,445.17 / $5,772.33 / $8,747.35	Facility		$4,445.17	$5,772.33	$8,747.35
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,003.86 / $1,003.86 / $1,003.86	Professional		$1,003.86	$1,003.86	$1,003.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.65 / $1,673.10 / $3,764.48	Facility		$861.65	$1,673.10	$3,764.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.64 / $1,452.97 / $2,910.48	Professional		$677.64	$1,452.97	$2,910.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $1,029.59 / $2,175.03	Professional		$592.02	$1,029.59	$2,175.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.68 / $1,609.68 / $1,609.68	Facility		$1,609.68	$1,609.68	$1,609.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,093.95 / $3,523.55 / $5,315.31	Facility		$1,093.95	$3,523.55	$5,315.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $926.64 / $1,093.95 / $5,315.31	Professional		$926.64	$1,093.95	$5,315.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.76 / $1,930.50 / $2,574.00	Professional		$1,904.76	$1,930.50	$2,574.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $899.32 / $1,992.26 / $4,270.35	Facility		$899.32	$1,992.26	$4,270.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.76 / $1,452.97 / $2,910.48	Professional		$1,128.76	$1,452.97	$2,910.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,415.70	Facility		$1,287.00	$1,287.00	$1,415.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,415.70	Professional		$1,287.00	$1,287.00	$1,415.70
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $772.20 / $1,930.50	Professional		$540.54	$772.20	$1,930.50