Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $4,011.53 / $8,663.62	Facility		$882.00	$4,011.53	$8,663.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $953.26 / $2,288.38	Professional		$748.82	$953.26	$2,288.38
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $25.02 / $340.95 / $727.08	Professional	AS	$25.02	$340.95	$727.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,069.28 / $1,725.14 / $2,146.78	Professional		$1,069.28	$1,725.14	$2,146.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.72 / $1,102.75 / $1,916.82	Professional		$792.72	$1,102.75	$1,916.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.89 / $1,650.71 / $1,705.32	Professional		$1,283.89	$1,650.71	$1,705.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,244.82 / $9,005.74 / $14,380.48	Facility		$4,244.82	$9,005.74	$14,380.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.92 / $1,058.52 / $1,252.00	Professional		$891.92	$1,058.52	$1,252.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $994.67 / $3,839.00 / $8,247.00	Facility		$994.67	$3,839.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $782.07 / $1,086.49 / $2,841.21	Professional		$782.07	$1,086.49	$2,841.21
Martin's Point Facility/Professional Professional Modifier AS Low / Median / High Price $25.11 / $624.02 / $727.08	Professional	AS	$25.11	$624.02	$727.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $816.85 / $1,175.09 / $1,575.56	Professional		$816.85	$1,175.09	$1,575.56
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.20 / $1,467.20 / $1,467.20	Facility		$1,467.20	$1,467.20	$1,467.20
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.72 / $146.72 / $146.72	Facility	AS	$146.72	$146.72	$146.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $834.44 / $1,106.56 / $1,976.15	Professional		$834.44	$1,106.56	$1,976.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $844.21 / $873.84 / $1,053.20	Facility		$844.21	$873.84	$1,053.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $844.21 / $1,028.04 / $1,122.49	Professional		$844.21	$1,028.04	$1,122.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $5,509.00 / $11,783.22	Facility		$2,332.00	$5,509.00	$11,783.22
United Facility/Professional Professional Modifier Low / Median / High Price $928.59 / $1,169.42 / $2,011.03	Professional		$928.59	$1,169.42	$2,011.03