Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.13 / $629.66 / $792.61	Professional		$569.13	$629.66	$792.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $617.95 / $641.27 / $641.27	Professional		$617.95	$641.27	$641.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $3,848.41	Facility		$489.00	$1,865.00	$3,848.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.47 / $776.93 / $1,227.57	Professional		$533.47	$776.93	$1,227.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,386.88 / $1,386.88 / $1,386.88	Facility		$1,386.88	$1,386.88	$1,386.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $733.58 / $973.15 / $1,243.39	Professional		$733.58	$973.15	$1,243.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,850.20 / $6,850.20 / $6,850.20	Facility		$6,850.20	$6,850.20	$6,850.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $569.13 / $670.69 / $2,467.00	Professional		$569.13	$670.69	$2,467.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $690.10 / $690.10 / $690.10	Facility		$690.10	$690.10	$690.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $825.80 / $1,567.70	Professional		$5.00	$825.80	$1,567.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $3,661.98	Facility		$460.00	$1,403.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $527.74 / $770.74 / $1,330.67	Professional		$527.74	$770.74	$1,330.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $608.84 / $608.84 / $641.80	Facility		$608.84	$608.84	$641.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $592.54 / $609.44 / $644.41	Professional		$592.54	$609.44	$644.41
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.72 / $728.76 / $1,225.94	Professional		$539.72	$728.76	$1,225.94