Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,627.00 / $8,451.00	Facility		$749.00	$3,627.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.67 / $855.39 / $1,524.40	Professional		$660.67	$855.39	$1,524.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $881.76 / $1,741.97 / $1,741.97	Professional		$881.76	$1,741.97	$1,741.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.46 / $945.54 / $1,702.04	Professional		$694.46	$945.54	$1,702.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.38 / $1,405.77 / $1,448.54	Professional		$1,093.38	$1,405.77	$1,448.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $4,038.97 / $6,559.98	Facility		$1,872.50	$4,038.97	$6,559.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.01 / $886.07 / $1,222.68	Professional		$782.01	$886.07	$1,222.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.12 / $3,964.00 / $8,247.00	Facility		$832.12	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $684.33 / $904.65 / $1,825.58	Professional		$684.33	$904.65	$1,825.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $716.94 / $974.80 / $1,302.89	Professional		$716.94	$974.80	$1,302.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.83 / $1,285.83 / $1,285.83	Facility		$1,285.83	$1,285.83	$1,285.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $731.48 / $963.44 / $1,774.30	Professional		$731.48	$963.44	$1,774.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $738.88 / $768.20 / $912.55	Facility		$738.88	$768.20	$912.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $738.38 / $876.14 / $953.40	Professional		$738.38	$876.14	$953.40
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.93 / $1,009.10 / $1,760.82	Professional		$808.93	$1,009.10	$1,760.82