Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.38 / $2,747.00 / $8,247.00	Facility		$737.38	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $737.38 / $1,164.13	Professional		$626.79	$737.38	$1,164.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $769.87 / $798.92 / $798.92	Professional		$769.87	$798.92	$798.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.46 / $929.81 / $1,510.78	Professional		$695.46	$929.81	$1,510.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $908.50 / $1,226.30 / $1,569.23	Professional		$908.50	$1,226.30	$1,569.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,853.12 / $2,853.12 / $11,495.50	Facility		$2,853.12	$2,853.12	$11,495.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $790.80 / $3,833.80	Professional		$626.79	$790.80	$3,833.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $852.50 / $852.50 / $1,536.70	Professional		$852.50	$852.50	$1,536.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $940.36 / $1,527.92	Professional		$697.78	$940.36	$1,527.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $748.90 / $748.90 / $749.29	Facility		$748.90	$748.90	$749.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $726.94 / $749.29 / $793.26	Professional		$726.94	$749.29	$793.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $2,715.00 / $4,815.00	Facility		$1,175.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.19 / $921.69 / $1,378.01	Professional		$691.19	$921.69	$1,378.01