Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $1,741.01 / $4,320.03	Facility		$674.81	$1,741.01	$4,320.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.20 / $674.81 / $966.40	Professional		$479.20	$674.81	$966.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $455.23 / $535.57 / $8,459.92	Facility		$455.23	$535.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $534.51 / $534.51 / $534.51	Professional		$534.51	$534.51	$534.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.32 / $479.20 / $479.20	Professional		$407.32	$479.20	$479.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.40 / $1,524.12 / $2,817.65	Facility		$628.40	$1,524.12	$2,817.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $1,719.93 / $3,883.97	Facility		$674.81	$1,719.93	$3,883.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $674.81 / $1,741.01	Professional		$535.57	$674.81	$1,741.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $842.66 / $1,251.04 / $1,716.02	Professional		$842.66	$1,251.04	$1,716.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $535.57 / $589.13	Facility		$535.57	$535.57	$589.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $535.57 / $589.13	Professional		$535.57	$535.57	$589.13
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $913.63	Professional		$661.57	$661.57	$913.63