Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.00 / $3,066.00 / $7,629.00	Facility		$655.00	$3,066.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $620.62 / $1,096.85	Professional		$455.74	$620.62	$1,096.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $665.28 / $779.45 / $1,215.39	Professional		$665.28	$779.45	$1,215.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $868.02	Facility		$868.02	$868.02	$868.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.06 / $689.53 / $1,186.47	Professional		$503.06	$689.53	$1,186.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $796.62 / $1,076.58 / $1,375.98	Professional		$796.62	$1,076.58	$1,375.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.25 / $7,045.70 / $16,522.79	Facility		$540.25	$7,045.70	$16,522.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.87 / $526.80 / $658.53	Professional		$487.87	$526.80	$658.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,839.00 / $8,017.00	Facility		$749.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $472.31 / $688.97 / $1,343.24	Professional		$472.31	$688.97	$1,343.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $726.46 / $867.40 / $1,413.00	Professional		$726.46	$867.40	$1,413.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $868.02 / $868.02 / $868.02	Facility		$868.02	$868.02	$868.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $700.29 / $1,222.66	Professional		$512.29	$700.29	$1,222.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $497.86 / $656.57 / $792.37	Facility		$497.86	$656.57	$792.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $497.86 / $640.90 / $748.73	Professional		$497.86	$640.90	$748.73
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 $600.62 / $820.37 / $1,261.44	Professional		$600.62	$820.37	$1,261.44