Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,247.00	Facility		$976.00	$3,830.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.18 / $823.28 / $1,231.15	Professional		$740.18	$823.28	$1,231.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $826.83 / $886.51 / $1,504.79	Professional		$826.83	$886.51	$1,504.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $934.05	Facility		$934.05	$934.05	$934.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.03 / $1,012.70 / $1,661.41	Professional		$780.03	$1,012.70	$1,661.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.20 / $1,324.96 / $1,687.88	Professional		$977.20	$1,324.96	$1,687.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.95 / $960.95 / $960.95	Professional		$960.95	$960.95	$960.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,427.00	Facility		$1,020.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $740.18 / $856.53 / $2,843.00	Professional		$740.18	$856.53	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.20 / $1,008.20 / $1,682.40	Professional		$1,008.20	$1,008.20	$1,682.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $934.05	Facility		$934.05	$934.05	$934.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $780.03 / $1,024.69 / $1,703.63	Professional		$780.03	$1,024.69	$1,703.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $805.00 / $870.85	Facility		$805.00	$805.00	$870.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $779.54 / $809.69 / $870.85	Professional		$779.54	$809.69	$870.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.03 / $995.50 / $1,553.55	Professional		$773.03	$995.50	$1,553.55