Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,627.00 / $8,017.00	Facility		$768.00	$3,627.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.03 / $607.08 / $1,083.26	Professional		$446.03	$607.08	$1,083.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $5,951.00 / $8,887.00	Facility		$2,450.00	$5,951.00	$8,887.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $672.63 / $698.02 / $698.02	Professional		$672.63	$698.02	$698.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.90 / $716.26 / $1,261.65	Professional		$557.90	$716.26	$1,261.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $803.99 / $1,033.70 / $1,068.09	Professional		$803.99	$1,033.70	$1,068.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $556.94 / $686.14 / $1,820.00	Professional		$556.94	$686.14	$1,820.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $658.10 / $658.10 / $692.20	Professional		$658.10	$658.10	$692.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $761.08 / $761.08 / $761.08	Facility		$761.08	$761.08	$761.08
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $590.22 / $729.74 / $1,344.34	Professional		$590.22	$729.74	$1,344.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $612.67 / $654.60 / $654.60	Facility		$612.67	$654.60	$654.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.67 / $654.60 / $694.43	Professional		$612.67	$654.60	$694.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.79 / $709.24 / $1,263.90	Professional		$565.79	$709.24	$1,263.90