Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.65 / $719.23 / $1,068.63	Professional		$651.65	$719.23	$1,068.63
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 $730.81 / $758.38 / $758.38	Professional		$730.81	$758.38	$758.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.15 / $833.15 / $833.15	Facility		$833.15	$833.15	$833.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.13 / $823.18 / $1,439.19	Professional		$604.13	$823.18	$1,439.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $837.31 / $1,101.08 / $1,446.26	Professional		$837.31	$1,101.08	$1,446.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,853.46 / $6,853.46 / $6,853.46	Facility		$6,853.46	$6,853.46	$6,853.46
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 $654.37 / $791.21 / $3,502.64	Professional		$654.37	$791.21	$3,502.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $869.50 / $869.50 / $1,561.30	Professional		$869.50	$869.50	$1,561.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $833.15 / $833.15 / $833.15	Facility		$833.15	$833.15	$833.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $636.95 / $847.04 / $1,444.96	Professional		$636.95	$847.04	$1,444.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $710.26 / $710.26 / $729.64	Facility		$710.26	$710.26	$729.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $690.82 / $711.75 / $739.68	Professional		$690.82	$711.75	$739.68
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 $680.37 / $872.14 / $1,484.09	Professional		$680.37	$872.14	$1,484.09