Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.01 / $2,747.00 / $8,653.45	Facility		$736.01	$2,747.00	$8,653.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.93 / $910.15 / $1,673.07	Professional		$708.93	$910.15	$1,673.07
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 $987.57 / $1,024.83 / $1,024.83	Professional		$987.57	$1,024.83	$1,024.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.50 / $1,022.54 / $1,830.03	Professional		$745.50	$1,022.54	$1,830.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.03 / $1,515.90 / $1,561.97	Professional		$1,179.03	$1,515.90	$1,561.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.18 / $5,407.25 / $24,190.67	Facility		$2,687.18	$5,407.25	$24,190.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.18 / $982.87 / $1,292.68	Professional		$904.18	$982.87	$1,292.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,889.60 / $8,247.00	Facility		$832.00	$3,889.60	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $734.69 / $945.39 / $1,794.04	Professional		$734.69	$945.39	$1,794.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $768.25 / $1,075.40 / $1,403.08	Professional		$768.25	$1,075.40	$1,403.08
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.39 / $1,377.39 / $1,377.39	Facility		$1,377.39	$1,377.39	$1,377.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $784.74 / $1,034.33 / $1,902.55	Professional		$784.74	$1,034.33	$1,902.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $792.77 / $913.72 / $1,084.64	Facility		$792.77	$913.72	$1,084.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $791.98 / $944.04 / $1,027.85	Professional		$791.98	$944.04	$1,027.85
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 $864.44 / $1,082.67 / $1,817.17	Professional		$864.44	$1,082.67	$1,817.17