Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.12 / $2,326.00 / $7,629.00	Facility		$720.12	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $693.52 / $958.13	Professional		$621.91	$693.52	$958.13
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 $699.71 / $738.58 / $1,251.54	Professional		$699.71	$738.58	$1,251.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $792.33	Facility		$792.33	$792.33	$792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.70 / $838.32 / $1,399.31	Professional		$626.70	$838.32	$1,399.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $829.71 / $1,124.39 / $1,433.13	Professional		$829.71	$1,124.39	$1,433.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.88 / $983.88 / $983.88	Professional		$983.88	$983.88	$983.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $720.12 / $2,326.00 / $8,017.00	Facility		$720.12	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $765.99 / $3,327.00	Professional		$621.91	$765.99	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $855.90 / $1,418.00	Professional		$855.90	$855.90	$1,418.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $792.33	Facility		$792.33	$792.33	$792.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $626.70 / $852.93 / $1,420.62	Professional		$626.70	$852.93	$1,420.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $678.86 / $678.86 / $705.49	Facility		$678.86	$678.86	$705.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.49 / $681.65 / $721.06	Professional		$658.49	$681.65	$721.06
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 $631.72 / $848.76 / $1,367.17	Professional		$631.72	$848.76	$1,367.17