Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $8,017.00	Facility		$882.00	$3,066.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.97 / $761.03 / $1,106.23	Professional		$675.97	$761.03	$1,106.23
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 $756.52 / $806.34 / $1,368.59	Professional		$756.52	$806.34	$1,368.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $855.57	Facility		$855.57	$855.57	$855.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.34 / $910.72 / $1,519.41	Professional		$711.34	$910.72	$1,519.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $895.49 / $1,213.96 / $1,546.75	Professional		$895.49	$1,213.96	$1,546.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $1,872.50 / $1,872.50	Facility		$1,872.50	$1,872.50	$1,872.50
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 $675.97 / $840.19 / $3,721.36	Professional		$675.97	$840.19	$3,721.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $930.20 / $930.20 / $1,537.40	Professional		$930.20	$930.20	$1,537.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $855.57	Facility		$855.57	$855.57	$855.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $711.34 / $938.71 / $1,550.12	Professional		$711.34	$938.71	$1,550.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $735.58 / $735.58 / $960.56	Facility		$735.58	$735.58	$960.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.87 / $739.28 / $960.56	Professional		$712.87	$739.28	$960.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.42 / $906.06 / $1,472.05	Professional		$711.42	$906.06	$1,472.05