Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.59 / $4,063.00 / $10,398.00	Facility		$655.59	$4,063.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.10 / $619.29 / $922.73	Professional		$492.10	$619.29	$922.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $631.03 / $654.84 / $654.84	Professional		$631.03	$654.84	$654.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $902.78	Facility		$902.78	$902.78	$902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.85 / $766.13 / $1,249.26	Professional		$542.85	$766.13	$1,249.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $744.77 / $988.05 / $1,286.41	Professional		$744.77	$988.05	$1,286.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $1,872.50 / $1,872.50	Facility		$1,872.50	$1,872.50	$1,872.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $5,350.00 / $11,083.00	Facility		$1,278.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $699.15 / $2,621.52	Professional		$518.28	$699.15	$2,621.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $702.00 / $1,646.80	Professional		$702.00	$702.00	$1,646.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $902.78	Facility		$902.78	$902.78	$902.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $543.51 / $776.58 / $1,298.83	Professional		$543.51	$776.58	$1,298.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $517.23 / $615.55 / $737.38	Facility		$517.23	$615.55	$737.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.00 / $603.04 / $654.44	Professional		$516.00	$603.04	$654.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $820.37 / $1,352.35	Professional		$627.98	$820.37	$1,352.35