Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,505.00 / $8,077.00	Facility		$641.00	$2,505.00	$8,077.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $780.57 / $2,342.19	Professional		$142.63	$780.57	$2,342.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,850.00 / $16,455.00 / $36,032.05	Facility		$8,850.00	$16,455.00	$36,032.05
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,367.68 / $2,652.60 / $3,694.88	Professional		$1,367.68	$2,652.60	$3,694.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $341.60 / $2,946.69	Professional		$167.16	$341.60	$2,946.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,552.75 / $2,552.75 / $2,649.79	Professional		$2,552.75	$2,552.75	$2,649.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.86 / $689.86 / $2,559.34	Facility		$689.86	$689.86	$2,559.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,667.00 / $8,247.00	Facility		$657.00	$2,667.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $800.00 / $2,843.00	Professional		$142.63	$800.00	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.51 / $1,653.28 / $3,064.14	Professional		$139.51	$1,653.28	$3,064.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $361.80 / $2,911.30	Professional		$167.41	$361.80	$2,911.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.38 / $171.52 / $2,120.05	Facility		$144.38	$171.52	$2,120.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $171.52 / $1,796.52	Professional		$144.38	$171.52	$1,796.52
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 $1,422.45 / $2,121.00 / $3,174.81	Professional		$1,422.45	$2,121.00	$3,174.81