Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.81 / $1,387.30 / $2,043.70	Facility		$395.81	$1,387.30	$2,043.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.12 / $400.70 / $3,142.08	Professional		$378.12	$400.70	$3,142.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,464.12 / $3,283.56 / $8,459.92	Facility		$2,464.12	$3,283.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $381.15 / $381.15	Professional		$381.15	$381.15	$381.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.74 / $742.29 / $1,621.21	Facility		$463.74	$742.29	$1,621.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $469.60 / $1,104.95	Professional		$286.13	$469.60	$1,104.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.75 / $659.69 / $928.45	Professional		$290.75	$659.69	$928.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,634.35 / $1,634.35 / $1,634.35	Facility		$1,634.35	$1,634.35	$1,634.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $1,387.30 / $2,043.70	Facility		$415.36	$1,387.30	$2,043.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $366.50 / $437.52 / $2,018.17	Professional		$366.50	$437.52	$2,018.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $550.10 / $756.40 / $811.40	Professional		$550.10	$756.40	$811.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $475.73 / $812.97 / $1,621.21	Facility		$475.73	$812.97	$1,621.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $521.88 / $1,104.95	Professional		$306.58	$521.88	$1,104.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $488.66 / $488.66 / $488.66	Facility		$488.66	$488.66	$488.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $488.66 / $498.43	Professional		$488.66	$488.66	$498.43
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $293.20 / $810.00	Professional		$205.24	$293.20	$810.00