Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $801.56 / $1,158.69	Professional		$717.27	$801.56	$1,158.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $792.39 / $822.29 / $957.58	Professional		$792.39	$822.29	$957.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.08 / $979.59 / $1,614.23	Professional		$741.08	$979.59	$1,614.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $935.94 / $1,263.07 / $1,616.62	Professional		$935.94	$1,263.07	$1,616.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,091.11 / $35,091.11 / $35,091.11	Facility		$35,091.11	$35,091.11	$35,091.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,597.00 / $8,404.00	Facility		$1,013.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $841.29 / $3,966.64	Professional		$717.27	$841.29	$3,966.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.30 / $888.30 / $1,734.90	Professional		$888.30	$888.30	$1,734.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $998.64 / $1,691.36	Professional		$744.60	$998.64	$1,691.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $779.43 / $779.43 / $830.70	Facility		$779.43	$779.43	$830.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $756.78 / $781.94 / $830.70	Professional		$756.78	$781.94	$830.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.97 / $964.05 / $1,542.50	Professional		$705.97	$964.05	$1,542.50