Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $2,079.44 / $3,235.82	Facility		$645.60	$2,079.44	$3,235.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $645.60 / $729.15	Professional		$455.72	$645.60	$729.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,239.51 / $2,984.26 / $8,459.92	Facility		$2,239.51	$2,984.26	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.42 / $592.42 / $592.42	Professional		$592.42	$592.42	$592.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.50 / $1,011.42 / $2,520.92	Facility		$508.50	$1,011.42	$2,520.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.95 / $813.20 / $1,138.27	Professional		$357.95	$813.20	$1,138.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.38 / $607.62 / $1,283.60	Professional		$349.38	$607.62	$1,283.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.94 / $1,421.30 / $2,698.37	Facility		$958.94	$1,421.30	$2,698.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $455.72 / $645.60	Professional		$455.72	$455.72	$645.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $1,791.34 / $3,176.56	Facility		$645.60	$1,791.34	$3,176.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $645.60 / $3,136.86	Professional		$478.50	$645.60	$3,136.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.09 / $1,139.30 / $2,314.40	Professional		$1,124.09	$1,139.30	$2,314.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $530.74 / $1,263.59 / $2,520.92	Facility		$530.74	$1,263.59	$2,520.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $493.60 / $857.32 / $1,718.15	Professional		$493.60	$857.32	$1,718.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $713.24 / $759.53 / $759.53	Facility		$713.24	$759.53	$759.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $713.24 / $759.53 / $759.53	Professional		$713.24	$759.53	$759.53
United Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $455.72 / $1,139.30	Professional		$55.87	$455.72	$1,139.30