Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,264.00 / $8,240.00	Facility		$882.00	$4,264.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.42 / $708.50 / $915.41	Professional		$560.42	$708.50	$915.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,800.00 / $11,479.00 / $17,952.00	Facility		$5,800.00	$11,479.00	$17,952.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $598.53 / $879.74 / $1,185.07	Professional		$598.53	$879.74	$1,185.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.50 / $843.60 / $1,324.45	Professional		$590.50	$843.60	$1,324.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $815.37 / $1,081.64 / $1,098.71	Professional		$815.37	$1,081.64	$1,098.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,302.39 / $4,302.39 / $4,302.39	Facility		$4,302.39	$4,302.39	$4,302.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $601.15 / $730.01 / $3,533.91	Professional		$601.15	$730.01	$3,533.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $680.50 / $1,853.10	Professional		$5.00	$680.50	$1,853.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $651.14 / $846.19 / $1,429.43	Professional		$651.14	$846.19	$1,429.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $632.54 / $681.68 / $681.68	Facility		$632.54	$681.68	$681.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $681.68 / $729.18	Professional		$632.54	$681.68	$729.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.48 / $750.88 / $1,317.84	Professional		$546.48	$750.88	$1,317.84