Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $1,291.58	Facility		$903.21	$903.21	$1,291.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $903.21 / $903.21	Professional		$850.08	$903.21	$903.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $858.05 / $1,009.47 / $8,459.92	Facility		$858.05	$1,009.47	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Professional		$1,009.47	$1,009.47	$1,009.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.78 / $1,516.63 / $2,039.02	Facility		$461.78	$1,516.63	$2,039.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $1,088.92 / $5,272.11	Facility		$903.21	$1,088.92	$5,272.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $903.21 / $1,147.08	Professional		$850.08	$903.21	$1,147.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.27 / $2,097.80 / $3,249.34	Professional		$1,435.27	$2,097.80	$3,249.34
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $471.04 / $471.04 / $518.14	Facility		$471.04	$471.04	$518.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $471.04 / $471.04 / $518.14	Professional		$471.04	$471.04	$518.14
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,155.58	Professional		$885.50	$885.50	$1,155.58