Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,748.00 / $8,017.00	Facility		$832.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $479.90 / $765.73	Professional		$417.07	$479.90	$765.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $484.43 / $502.71 / $502.71	Professional		$484.43	$502.71	$502.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,983.20 / $3,938.52	Facility		$526.00	$1,983.20	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $564.77 / $986.06	Professional		$380.62	$564.77	$986.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.41 / $1,099.41 / $1,099.41	Facility		$1,099.41	$1,099.41	$1,099.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $767.02 / $979.82	Professional		$586.09	$767.02	$979.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,570.78 / $6,570.78 / $6,570.78	Facility		$6,570.78	$6,570.78	$6,570.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,964.00 / $8,017.00	Facility		$1,013.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $594.11 / $2,466.69	Professional		$449.72	$594.11	$2,466.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.60 / $512.60 / $512.60	Facility		$512.60	$512.60	$512.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.60 / $700.80 / $1,054.13	Professional		$512.60	$700.80	$1,054.13
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,657.00 / $3,747.73	Facility		$526.00	$1,657.00	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $382.59 / $564.77 / $986.06	Professional		$382.59	$564.77	$986.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $470.90 / $470.90 / $484.27	Facility		$470.90	$470.90	$484.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $454.80 / $474.81 / $500.19	Professional		$454.80	$474.81	$500.19
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $3,339.99 / $8,734.42	Facility		$902.00	$3,339.99	$8,734.42
United Facility/Professional Professional Modifier Low / Median / High Price $373.03 / $532.90 / $914.99	Professional		$373.03	$532.90	$914.99