Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.84 / $2,747.00 / $7,629.00	Facility		$759.84	$2,747.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.46 / $893.09 / $1,665.31	Professional		$724.46	$893.09	$1,665.31
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 $989.88 / $1,587.08 / $1,818.50	Professional		$989.88	$1,587.08	$1,818.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.01 / $992.61 / $1,762.94	Professional		$736.01	$992.61	$1,762.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.20 / $1,517.40 / $1,562.94	Professional		$1,180.20	$1,517.40	$1,562.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,711.96 / $6,334.78 / $9,097.73	Facility		$3,711.96	$6,334.78	$9,097.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.56 / $969.80 / $1,265.72	Professional		$897.56	$969.80	$1,265.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $907.49 / $2,695.24 / $8,017.00	Facility		$907.49	$2,695.24	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $961.93 / $1,750.22	Professional		$747.71	$961.93	$1,750.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $872.70 / $872.70 / $918.90	Professional		$872.70	$872.70	$918.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,423.37 / $1,423.37 / $1,423.37	Facility		$1,423.37	$1,423.37	$1,423.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $774.34 / $1,024.28 / $1,905.49	Professional		$774.34	$1,024.28	$1,905.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $819.10 / $866.42 / $997.30	Facility		$819.10	$866.42	$997.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $817.60 / $948.35 / $1,031.96	Professional		$817.60	$948.35	$1,031.96
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 $842.57 / $1,053.21 / $1,856.32	Professional		$842.57	$1,053.21	$1,856.32