Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.16 / $2,562.58 / $3,914.60	Facility		$758.16	$2,562.58	$3,914.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $767.52 / $1,150.00	Professional		$561.60	$767.52	$1,150.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,232.85 / $4,307.93 / $8,459.92	Facility		$3,232.85	$4,307.93	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $730.08 / $730.08	Professional		$730.08	$730.08	$730.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.65 / $1,216.80 / $2,737.80	Facility		$626.65	$1,216.80	$2,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.86 / $1,056.64 / $2,117.32	Professional		$492.86	$1,056.64	$2,117.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.56 / $748.80 / $1,581.84	Professional		$430.56	$748.80	$1,581.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.68 / $1,609.68 / $1,609.68	Facility		$1,609.68	$1,609.68	$1,609.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $655.00 / $655.00	Professional		$655.00	$655.00	$655.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $795.60 / $2,562.58 / $3,865.68	Facility		$795.60	$2,562.58	$3,865.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $795.60 / $3,865.68	Professional		$673.92	$795.60	$3,865.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.28 / $1,404.00 / $1,872.00	Professional		$1,385.28	$1,404.00	$1,872.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $1,449.01 / $3,106.60	Facility		$654.04	$1,449.01	$3,106.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $820.86 / $1,056.64 / $2,117.32	Professional		$820.86	$1,056.64	$2,117.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $936.00 / $1,029.59	Facility		$936.00	$936.00	$1,029.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $1,029.59	Professional		$936.00	$936.00	$1,029.59
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,450.80	Professional		$393.12	$561.60	$1,450.80