Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,766.24 / $3,623.77 / $17,141.00	Facility		$2,766.24	$3,623.77	$17,141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,098.63 / $4,000.62 / $4,783.53	Professional		$2,098.63	$4,000.62	$4,783.53
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 $1,988.75 / $2,063.80 / $3,383.51	Professional		$1,988.75	$2,063.80	$3,383.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $3,158.15 / $3,158.15	Facility		$3,158.15	$3,158.15	$3,158.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,307.75 / $5,647.79 / $5,655.62	Professional		$3,307.75	$5,647.79	$5,655.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,668.36 / $9,668.36 / $11,916.45	Facility		$9,668.36	$9,668.36	$11,916.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,147.71 / $2,147.71 / $2,147.71	Professional		$2,147.71	$2,147.71	$2,147.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,766.24 / $8,476.04 / $21,879.00	Facility		$2,766.24	$8,476.04	$21,879.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,098.63 / $4,162.24 / $4,783.53	Professional		$2,098.63	$4,162.24	$4,783.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,158.15 / $3,158.15 / $3,158.15	Facility		$3,158.15	$3,158.15	$3,158.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,944.59 / $1,944.59	Facility		$828.00	$1,944.59	$1,944.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $828.00 / $2,203.69 / $3,159.03	Professional		$828.00	$2,203.69	$3,159.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.81 / $2,176.98 / $3,558.60	Professional		$1,348.81	$2,176.98	$3,558.60