Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,745.00 / $8,017.00	Facility		$768.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $766.78 / $2,842.45	Professional		$655.29	$766.78	$2,842.45
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 $747.64 / $775.85 / $775.85	Professional		$747.64	$775.85	$775.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.52 / $967.50 / $1,519.39	Professional		$721.52	$967.50	$1,519.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $871.32 / $1,152.78 / $1,157.94	Professional		$871.32	$1,152.78	$1,157.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $685.29 / $825.65 / $3,003.55	Professional		$685.29	$825.65	$3,003.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,047.90 / $1,859.70	Professional		$3.00	$1,047.90	$1,859.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $740.59 / $975.13 / $1,629.74	Professional		$740.59	$975.13	$1,629.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $726.18 / $726.18 / $868.38	Facility		$726.18	$726.18	$868.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $704.49 / $729.40 / $868.38	Professional		$704.49	$729.40	$868.38
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 $743.77 / $920.57 / $1,526.92	Professional		$743.77	$920.57	$1,526.92