Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.36 / $2,181.76 / $3,218.59	Facility		$623.36	$2,181.76	$3,218.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $623.36 / $4,948.39	Professional		$222.93	$623.36	$4,948.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,658.05 / $3,541.99 / $8,459.92	Facility		$2,658.05	$3,541.99	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $600.27 / $600.27 / $600.27	Professional		$600.27	$600.27	$600.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.34 / $1,136.73 / $2,553.52	Facility		$730.34	$1,136.73	$2,553.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $821.91 / $1,740.36	Professional		$362.58	$821.91	$1,740.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $1,038.93 / $1,462.20	Professional		$457.90	$1,038.93	$1,462.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,173.36 / $1,173.36 / $1,173.36	Facility		$1,173.36	$1,173.36	$1,173.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $654.14 / $2,181.76 / $3,178.37	Facility		$654.14	$2,181.76	$3,178.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $554.10 / $654.14 / $3,178.37	Professional		$554.10	$654.14	$3,178.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.98 / $1,154.36 / $1,539.16	Professional		$1,138.98	$1,154.36	$1,539.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $1,280.33 / $2,553.52	Facility		$749.02	$1,280.33	$2,553.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $500.18 / $823.72 / $1,740.36	Professional		$500.18	$823.72	$1,740.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $769.58 / $846.54	Facility		$769.58	$769.58	$846.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $846.54	Professional		$769.58	$769.58	$846.54
United Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $323.22 / $323.22	Facility		$323.22	$323.22	$323.22
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $461.75 / $1,077.41	Professional		$323.22	$461.75	$1,077.41