Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,505.00 / $7,821.05	Facility		$536.00	$2,505.00	$7,821.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $353.05 / $816.38	Professional		$305.23	$353.05	$816.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $489.54 / $701.56	Professional		$340.68	$489.54	$701.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.28 / $422.97 / $686.02	Professional		$328.28	$422.97	$686.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $403.76 / $546.41 / $697.40	Professional		$403.76	$546.41	$697.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.27 / $3,778.79 / $9,353.75	Facility		$1,942.27	$3,778.79	$9,353.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $570.41 / $2,483.00 / $8,083.36	Facility		$570.41	$2,483.00	$8,083.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $442.58 / $1,268.14	Professional		$305.23	$442.58	$1,268.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $373.40 / $373.40 / $698.00	Professional		$373.40	$373.40	$698.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $328.28 / $423.13 / $690.89	Professional		$328.28	$423.13	$690.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.77 / $331.77 / $332.74	Facility		$331.77	$331.77	$332.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $321.85 / $332.74 / $352.42	Professional		$321.85	$332.74	$352.42
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.94 / $408.09 / $670.35	Professional		$318.94	$408.09	$670.35