Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.06 / $3,627.00 / $8,017.00	Facility		$763.06	$3,627.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $763.06 / $1,138.10	Professional		$239.20	$763.06	$1,138.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $673.00 / $791.76 / $1,298.07	Professional		$673.00	$791.76	$1,298.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $4,119.12	Professional		$1,133.27	$1,357.79	$4,119.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,936.54 / $1,936.54 / $1,936.54	Facility		$1,936.54	$1,936.54	$1,936.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $1,166.95 / $1,450.10	Professional		$405.60	$1,166.95	$1,450.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,932.54 / $10,004.01 / $17,779.54	Facility		$3,932.54	$10,004.01	$17,779.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,164.83 / $1,164.83	Professional		$1,164.83	$1,164.83	$1,164.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,068.00 / $8,017.00	Facility		$832.00	$4,068.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $499.71 / $776.93 / $3,780.00	Professional		$499.71	$776.93	$3,780.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $696.70 / $696.70 / $696.70	Facility		$696.70	$696.70	$696.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $696.70 / $895.40	Professional		$5.00	$696.70	$895.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $4,119.12	Professional		$1,133.27	$1,357.79	$4,119.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $742.02 / $854.32 / $854.32	Facility		$742.02	$854.32	$854.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $742.02 / $854.32 / $922.16	Professional		$742.02	$854.32	$922.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $3,331.00 / $6,000.00	Facility		$1,273.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.48 / $882.39 / $1,416.86	Professional		$565.48	$882.39	$1,416.86