Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.24 / $1,428.84 / $2,107.86	Facility		$408.24	$1,428.84	$2,107.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $408.24 / $2,081.52	Professional		$302.39	$408.24	$2,081.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,740.77 / $2,319.66 / $8,459.92	Facility		$1,740.77	$2,319.66	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $393.12	Professional		$393.12	$393.12	$393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.43 / $655.20 / $1,474.20	Facility		$337.43	$655.20	$1,474.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $568.87 / $1,139.75	Professional		$265.33	$568.87	$1,139.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $403.20 / $851.76	Professional		$231.84	$403.20	$851.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $965.81 / $1,019.92 / $1,045.42	Facility		$965.81	$1,019.92	$1,045.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $353.00	Professional		$302.39	$302.39	$353.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.40 / $1,428.84 / $2,081.52	Facility		$428.40	$1,428.84	$2,081.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $362.88 / $413.28 / $2,081.52	Professional		$362.88	$413.28	$2,081.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $745.92 / $756.00 / $1,008.00	Professional		$745.92	$756.00	$1,008.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $780.08 / $1,672.28	Facility		$352.18	$780.08	$1,672.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $373.74 / $568.87 / $1,139.75	Professional		$373.74	$568.87	$1,139.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $554.40	Facility		$504.00	$504.00	$554.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $554.40	Professional		$504.00	$504.00	$554.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $302.39 / $756.00	Professional		$211.68	$302.39	$756.00