Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.97 / $3,142.00 / $7,799.00	Facility		$894.97	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.53 / $818.28 / $1,184.85	Professional		$696.53	$818.28	$1,184.85
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 $830.32 / $861.65 / $1,424.86	Professional		$830.32	$861.65	$1,424.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $950.32	Facility		$950.32	$950.32	$950.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.82 / $993.51 / $1,698.03	Professional		$764.82	$993.51	$1,698.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $993.43 / $1,341.83 / $1,715.93	Professional		$993.43	$1,341.83	$1,715.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.34 / $858.34 / $858.34	Professional		$858.34	$858.34	$858.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $765.64 / $894.97 / $3,748.00	Professional		$765.64	$894.97	$3,748.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.80 / $977.80 / $1,779.60	Professional		$977.80	$977.80	$1,779.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $950.32	Facility		$950.32	$950.32	$950.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $765.03 / $1,009.64 / $1,739.06	Professional		$765.03	$1,009.64	$1,739.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $824.49 / $824.49 / $855.49	Facility		$824.49	$824.49	$855.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $804.53 / $824.49 / $882.85	Professional		$804.53	$824.49	$882.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,475.63 / $10,443.12	Facility		$2,332.00	$4,475.63	$10,443.12
United Facility/Professional Professional Modifier Low / Median / High Price $733.89 / $979.20 / $1,514.13	Professional		$733.89	$979.20	$1,514.13