Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,066.00 / $7,763.00	Facility		$540.00	$3,066.00	$7,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $340.73 / $502.01	Professional		$221.38	$340.73	$502.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $378.74 / $393.03 / $715.32	Professional		$378.74	$393.03	$715.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Facility		$425.74	$425.74	$425.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $375.98 / $664.35	Professional		$250.09	$375.98	$664.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.17 / $601.85 / $781.01	Professional		$452.17	$601.85	$781.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.78 / $1,897.78 / $8,826.45	Facility		$1,897.78	$1,897.78	$8,826.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $376.92 / $1,426.00	Professional		$228.67	$376.92	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $451.80 / $862.30	Professional		$398.47	$451.80	$862.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Facility		$425.74	$425.74	$425.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $252.51 / $387.39 / $689.41	Professional		$252.51	$387.39	$689.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $242.21 / $374.68 / $433.86	Facility		$242.21	$374.68	$433.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $368.30 / $401.67	Professional		$241.76	$368.30	$401.67
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 $352.22 / $473.18 / $793.34	Professional		$352.22	$473.18	$793.34