Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,505.00 / $7,628.79	Facility		$617.00	$2,505.00	$7,628.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $533.01 / $2,346.00	Professional		$469.61	$533.01	$2,346.00
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 $522.79 / $751.83 / $1,085.29	Professional		$522.79	$751.83	$1,085.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $649.48 / $1,051.68	Professional		$504.17	$649.48	$1,051.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $617.87 / $834.70 / $1,067.23	Professional		$617.87	$834.70	$1,067.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.17 / $5,733.58 / $9,576.35	Facility		$1,618.17	$5,733.58	$9,576.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,483.00 / $8,017.00	Facility		$657.00	$2,483.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $590.97 / $2,361.00	Professional		$484.18	$590.97	$2,361.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $590.29 / $1,075.70	Professional		$590.29	$590.29	$1,075.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $654.15 / $1,068.75	Professional		$504.17	$654.15	$1,068.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $510.79 / $511.05 / $511.05	Facility		$510.79	$511.05	$511.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $495.97 / $511.05 / $541.96	Professional		$495.97	$511.05	$541.96
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 $493.80 / $629.41 / $982.26	Professional		$493.80	$629.41	$982.26