Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,761.00 / $8,933.00	Facility		$921.00	$4,761.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.23 / $725.90 / $1,086.20	Professional		$662.23	$725.90	$1,086.20
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 $709.16 / $735.92 / $1,301.38	Professional		$709.16	$735.92	$1,301.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $738.77 / $1,199.00	Professional		$564.79	$738.77	$1,199.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.47 / $851.47 / $1,097.99	Professional		$851.47	$851.47	$1,097.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,808.40 / $8,808.40 / $8,808.40	Facility		$8,808.40	$8,808.40	$8,808.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $5,350.00 / $10,247.00	Facility		$1,054.00	$5,350.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $696.04 / $863.29 / $4,412.33	Professional		$696.04	$863.29	$4,412.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.29 / $644.29 / $644.29	Professional		$644.29	$644.29	$644.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $574.03 / $753.42 / $1,199.00	Professional		$574.03	$753.42	$1,199.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $605.70 / $696.31 / $696.31	Facility		$605.70	$696.31	$696.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $605.70 / $696.31 / $737.23	Professional		$605.70	$696.31	$737.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.91 / $776.83 / $1,325.84	Professional		$584.91	$776.83	$1,325.84