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 $683.81 / $796.36 / $1,202.81	Professional		$683.81	$796.36	$1,202.81
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 $781.17 / $810.65 / $1,255.98	Professional		$781.17	$810.65	$1,255.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.46 / $1,008.96 / $1,583.97	Professional		$753.46	$1,008.96	$1,583.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $910.18 / $1,204.30 / $1,208.71	Professional		$910.18	$1,204.30	$1,208.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,209.15 / $11,209.15 / $19,911.09	Facility		$11,209.15	$11,209.15	$19,911.09
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 $715.56 / $857.90 / $2,843.00	Professional		$715.56	$857.90	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,032.90 / $1,939.90	Professional		$3.00	$1,032.90	$1,939.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $773.80 / $1,018.29 / $1,688.14	Professional		$773.80	$1,018.29	$1,688.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.98 / $758.98 / $833.11	Facility		$758.98	$758.98	$833.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $735.82 / $762.60 / $833.11	Professional		$735.82	$762.60	$833.11
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 $776.45 / $959.14 / $1,586.79	Professional		$776.45	$959.14	$1,586.79