Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,304.00 / $8,240.00	Facility		$882.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $718.23 / $1,107.93	Professional		$624.16	$718.23	$1,107.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $25,716.00 / $39,341.64	Facility		$8,459.92	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $629.20 / $1,000.64 / $1,329.04	Professional		$629.20	$1,000.64	$1,329.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.26 / $920.69 / $1,443.70	Professional		$672.26	$920.69	$1,443.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.71 / $1,101.83 / $1,107.58	Professional		$832.71	$1,101.83	$1,107.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,777.78 / $5,777.78 / $5,777.78	Facility		$5,777.78	$5,777.78	$5,777.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $652.01 / $772.80 / $2,986.32	Professional		$652.01	$772.80	$2,986.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $908.70 / $1,774.30	Professional		$6.00	$908.70	$1,774.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $688.51 / $930.52 / $1,486.52	Professional		$688.51	$930.52	$1,486.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $692.31 / $692.31 / $791.39	Facility		$692.31	$692.31	$791.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $671.91 / $695.07 / $791.39	Professional		$671.91	$695.07	$791.39
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 $692.82 / $860.75 / $1,433.13	Professional		$692.82	$860.75	$1,433.13