Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.41 / $5,885.91 / $12,990.80	Facility		$899.41	$5,885.91	$12,990.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $788.24 / $1,108.98	Professional		$565.49	$788.24	$1,108.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $740.77 / $768.72 / $768.72	Professional		$740.77	$768.72	$768.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.01 / $881.33 / $1,492.24	Professional		$594.01	$881.33	$1,492.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,133.08 / $1,192.01	Professional		$1,133.08	$1,133.08	$1,192.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,070.17 / $11,418.22 / $21,127.58	Facility		$8,070.17	$11,418.22	$21,127.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $841.31 / $1,357.75	Professional		$679.76	$841.31	$1,357.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $989.35 / $5,350.00 / $10,011.00	Facility		$989.35	$5,350.00	$10,011.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $839.65 / $1,992.00	Professional		$565.49	$839.65	$1,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $698.84 / $1,034.28 / $1,397.68	Professional		$698.84	$1,034.28	$1,397.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $664.08 / $881.33 / $1,471.29	Professional		$664.08	$881.33	$1,471.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $646.40 / $727.37 / $727.37	Facility		$646.40	$727.37	$727.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $646.40 / $727.37 / $762.30	Professional		$646.40	$727.37	$762.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $4,584.00 / $9,631.00	Facility		$2,304.00	$4,584.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.48 / $829.33 / $1,532.66	Professional		$638.48	$829.33	$1,532.66