Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.75 / $1,760.66 / $3,324.90	Facility		$675.75	$1,760.66	$3,324.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $675.75 / $825.00	Professional		$628.04	$675.75	$825.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,745.85 / $3,658.99 / $8,459.92	Facility		$2,745.85	$3,658.99	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $620.10 / $620.10 / $620.10	Professional		$620.10	$620.10	$620.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.52 / $1,028.78 / $2,309.56	Facility		$522.52	$1,028.78	$2,309.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.61 / $897.49 / $1,798.13	Professional		$418.61	$897.49	$1,798.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $636.00 / $1,343.55	Professional		$365.70	$636.00	$1,343.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.07 / $1,390.59 / $1,931.44	Facility		$1,152.07	$1,390.59	$1,931.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $818.85 / $1,760.66 / $3,283.35	Facility		$818.85	$1,760.66	$3,283.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $759.00 / $3,283.35	Professional		$572.40	$759.00	$3,283.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,176.59 / $1,590.00	Professional		$1,091.20	$1,176.59	$1,590.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $555.53 / $1,021.27 / $2,638.27	Facility		$555.53	$1,021.27	$2,638.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $697.23 / $897.49 / $1,798.13	Professional		$697.23	$897.49	$1,798.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $874.50	Facility		$795.00	$795.00	$874.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $874.50	Professional		$795.00	$795.00	$874.50
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $1,192.50	Professional		$333.90	$477.00	$1,192.50