Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $3,154.27 / $4,851.42	Facility		$939.60	$3,154.27	$4,851.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $939.60 / $7,458.80	Professional		$696.00	$939.60	$7,458.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,006.52 / $5,202.72 / $8,459.92	Facility		$4,006.52	$5,202.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $904.80 / $904.80 / $904.80	Professional		$904.80	$904.80	$904.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.83 / $1,713.80 / $3,849.84	Facility		$1,100.83	$1,713.80	$3,849.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.71 / $1,238.83 / $2,623.88	Professional		$610.71	$1,238.83	$2,623.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $690.20 / $1,566.00 / $2,204.00	Professional		$690.20	$1,566.00	$2,204.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,374.29 / $1,868.72 / $3,045.00	Facility		$1,374.29	$1,868.72	$3,045.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $939.60 / $2,967.38 / $4,790.80	Facility		$939.60	$2,967.38	$4,790.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $788.80 / $986.00 / $4,790.80	Professional		$788.80	$986.00	$4,790.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,716.80 / $1,740.00 / $2,320.00	Professional		$1,716.80	$1,740.00	$2,320.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.03 / $2,037.69 / $3,849.84	Facility		$1,129.03	$2,037.69	$3,849.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $753.67 / $1,241.88 / $3,725.65	Professional		$753.67	$1,241.88	$3,725.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,276.00	Facility		$1,160.00	$1,160.00	$1,276.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,276.00	Professional		$1,160.00	$1,160.00	$1,276.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,392.00 / $1,392.00	Facility		$1,044.00	$1,392.00	$1,392.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $2,013.30	Professional		$487.20	$696.00	$2,013.30