Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.60 / $2,066.59 / $3,178.52	Facility		$615.60	$2,066.59	$3,178.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $615.60 / $4,886.80	Professional		$361.26	$615.60	$4,886.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,079.59 / $2,771.17 / $8,459.92	Facility		$2,079.59	$2,771.17	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $592.79	Professional		$592.79	$592.79	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.67 / $1,122.70 / $2,522.01	Facility		$602.67	$1,122.70	$2,522.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.22 / $559.80 / $1,134.96	Professional		$278.22	$559.80	$1,134.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.20 / $1,026.00 / $1,444.00	Professional		$452.20	$1,026.00	$1,444.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.56 / $1,530.56 / $1,765.86	Facility		$1,530.56	$1,530.56	$1,765.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $2,066.59 / $3,138.80	Facility		$646.00	$2,066.59	$3,138.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $646.00 / $3,138.80	Professional		$478.80	$646.00	$3,138.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $1,482.00 / $1,482.00	Facility		$1,482.00	$1,482.00	$1,482.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $602.67 / $1,264.39 / $2,522.01	Facility		$602.67	$1,264.39	$2,522.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $278.22 / $574.87 / $1,134.96	Professional		$278.22	$574.87	$1,134.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $662.31 / $760.00 / $760.00	Facility		$662.31	$760.00	$760.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $662.31 / $760.00 / $760.00	Professional		$662.31	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $1,064.00	Professional		$319.20	$456.00	$1,064.00