Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.79 / $2,605.00 / $8,113.00	Facility		$654.79	$2,605.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $764.90 / $1,401.27	Professional		$620.19	$764.90	$1,401.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $856.13 / $1,384.09 / $1,542.46	Professional		$856.13	$1,384.09	$1,542.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.79 / $868.60 / $1,494.37	Professional		$629.79	$868.60	$1,494.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.98 / $1,329.40 / $1,376.14	Professional		$1,033.98	$1,329.40	$1,376.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.62 / $3,936.00 / $6,188.75	Facility		$1,903.62	$3,936.00	$6,188.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $756.30 / $2,605.00 / $8,017.00	Facility		$756.30	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $863.81 / $1,944.75	Professional		$636.52	$863.81	$1,944.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.70 / $699.70 / $733.30	Professional		$699.70	$699.70	$733.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.22 / $1,208.22 / $1,208.22	Facility		$1,208.22	$1,208.22	$1,208.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $666.51 / $883.50 / $1,537.88	Professional		$666.51	$883.50	$1,537.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $696.71 / $701.65 / $844.99	Facility		$696.71	$701.65	$844.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $696.71 / $823.04 / $901.60	Professional		$696.71	$823.04	$901.60
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,974.56 / $6,195.30	Facility		$912.00	$2,974.56	$6,195.30
United Facility/Professional Professional Modifier Low / Median / High Price $744.15 / $907.26 / $1,618.12	Professional		$744.15	$907.26	$1,618.12