Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.85 / $647.15 / $1,033.93	Professional		$594.85	$647.15	$1,033.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $641.09 / $665.28 / $665.28	Professional		$641.09	$665.28	$665.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.33 / $765.52 / $1,295.83	Professional		$583.33	$765.52	$1,295.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $771.66 / $1,040.20 / $1,332.87	Professional		$771.66	$1,040.20	$1,332.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.86 / $663.86 / $909.22	Professional		$663.86	$663.86	$909.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $710.93 / $2,843.00	Professional		$599.91	$710.93	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.30 / $758.30 / $1,398.30	Professional		$758.30	$758.30	$1,398.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $587.82 / $775.14 / $1,295.83	Professional		$587.82	$775.14	$1,295.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $640.61 / $640.61 / $676.77	Facility		$640.61	$640.61	$676.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.26 / $640.61 / $689.40	Professional		$627.26	$640.61	$689.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $2,799.90 / $5,438.27	Facility		$1,214.00	$2,799.90	$5,438.27
United Facility/Professional Professional Modifier Low / Median / High Price $557.90 / $739.06 / $1,212.83	Professional		$557.90	$739.06	$1,212.83