Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,838.00 / $8,104.00	Facility		$768.00	$3,838.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.50 / $826.01 / $1,264.15	Professional		$721.50	$826.01	$1,264.15
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 $818.42 / $849.30 / $849.30	Professional		$818.42	$849.30	$849.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.61 / $1,057.23 / $1,659.04	Professional		$789.61	$1,057.23	$1,659.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $953.95 / $1,262.11 / $1,267.81	Professional		$953.95	$1,262.11	$1,267.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,908.60 / $7,908.60 / $7,908.60	Facility		$7,908.60	$7,908.60	$7,908.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,964.00 / $8,017.00	Facility		$954.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $748.86 / $907.17 / $3,494.00	Professional		$748.86	$907.17	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,138.50 / $2,032.70	Professional		$3.00	$1,138.50	$2,032.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $810.69 / $1,067.16 / $1,799.48	Professional		$810.69	$1,067.16	$1,799.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $794.92 / $794.92 / $989.58	Facility		$794.92	$794.92	$989.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $771.18 / $798.43 / $989.58	Professional		$771.18	$798.43	$989.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.62 / $1,018.20 / $1,668.83	Professional		$803.62	$1,018.20	$1,668.83