Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $4,761.00 / $8,632.87	Facility		$954.00	$4,761.00	$8,632.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.27 / $467.24 / $1,777.00	Professional		$404.27	$467.24	$1,777.00
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 $450.32 / $657.46 / $923.57	Professional		$450.32	$657.46	$923.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $509.09 / $509.09	Facility		$509.09	$509.09	$509.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $558.24 / $907.92	Professional		$434.10	$558.24	$907.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $532.40 / $726.26 / $919.60	Professional		$532.40	$726.26	$919.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.33 / $6,808.58 / $11,938.27	Facility		$1,935.33	$6,808.58	$11,938.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.48 / $466.48 / $562.25	Professional		$466.48	$466.48	$562.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $925.13 / $4,194.00 / $9,450.35	Facility		$925.13	$4,194.00	$9,450.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $632.57 / $1,777.00	Professional		$417.58	$632.57	$1,777.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $509.10 / $509.10 / $916.30	Professional		$509.10	$509.10	$916.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $509.09 / $509.09	Facility		$509.09	$509.09	$509.09
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $565.60 / $921.81	Professional		$434.10	$565.60	$921.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $438.31 / $438.31 / $445.93	Facility		$438.31	$438.31	$445.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $423.03 / $442.29 / $463.97	Professional		$423.03	$442.29	$463.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.11 / $558.23 / $892.08	Professional		$429.11	$558.23	$892.08