Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.27 / $2,076.23 / $3,171.64	Facility		$614.27	$2,076.23	$3,171.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $614.27 / $4,876.25	Professional		$500.00	$614.27	$4,876.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,619.30 / $3,490.35 / $8,459.92	Facility		$2,619.30	$3,490.35	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $591.52 / $591.52 / $591.52	Professional		$591.52	$591.52	$591.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.68 / $1,120.28 / $2,516.57	Facility		$719.68	$1,120.28	$2,516.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.33 / $809.97 / $1,715.18	Professional		$357.33	$809.97	$1,715.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.22 / $1,023.79 / $1,440.88	Professional		$451.22	$1,023.79	$1,440.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.44 / $1,536.44 / $1,536.44	Facility		$1,536.44	$1,536.44	$1,536.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $644.61 / $2,076.23 / $3,132.03	Facility		$644.61	$2,076.23	$3,132.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $546.02 / $644.61 / $3,132.03	Professional		$546.02	$644.61	$3,132.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.36 / $1,137.54 / $1,516.72	Professional		$1,122.36	$1,137.54	$1,516.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,261.65 / $2,516.57	Facility		$738.00	$1,261.65	$2,516.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $492.70 / $811.80 / $1,715.18	Professional		$492.70	$811.80	$1,715.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $758.36 / $1,215.92	Facility		$758.36	$758.36	$1,215.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $758.36 / $1,215.92	Professional		$758.36	$758.36	$1,215.92
United Facility/Professional Facility Modifier Low / Median / High Price $318.51 / $318.51 / $318.51	Facility		$318.51	$318.51	$318.51
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $455.02 / $1,372.93	Professional		$318.51	$455.02	$1,372.93