Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,381.00 / $7,629.00	Facility		$540.00	$2,381.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.50 / $520.91 / $911.42	Professional		$462.50	$520.91	$911.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $553.45 / $574.33 / $964.80	Professional		$553.45	$574.33	$964.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $852.82	Facility		$852.82	$852.82	$852.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.09 / $613.19 / $1,012.24	Professional		$474.09	$613.19	$1,012.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.87 / $893.61 / $1,143.23	Professional		$661.87	$893.61	$1,143.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,547.36 / $2,547.36 / $2,547.36	Facility		$2,547.36	$2,547.36	$2,547.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,605.00 / $8,017.00	Facility		$652.00	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.45 / $558.29 / $1,544.00	Professional		$467.45	$558.29	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.60 / $581.60 / $1,134.80	Professional		$581.60	$581.60	$1,134.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $852.82	Facility		$852.82	$852.82	$852.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $477.74 / $626.35 / $1,031.42	Professional		$477.74	$626.35	$1,031.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $453.62 / $490.10 / $535.94	Facility		$453.62	$490.10	$535.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $522.57 / $573.34	Professional		$476.93	$522.57	$573.34
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.67 / $647.67 / $1,059.33	Professional		$482.67	$647.67	$1,059.33