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 / $6,459.31	Facility		$768.00	$3,627.00	$6,459.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.98 / $438.93 / $899.27	Professional		$379.98	$438.93	$899.27
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 $424.08 / $608.01 / $874.95	Professional		$424.08	$608.01	$874.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.78 / $526.07 / $854.63	Professional		$405.78	$526.07	$854.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $502.19 / $684.65 / $867.43	Professional		$502.19	$684.65	$867.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,182.71 / $3,439.58 / $6,608.48	Facility		$2,182.71	$3,439.58	$6,608.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.31 / $468.95 / $546.89	Professional		$426.31	$468.95	$546.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,748.00 / $7,273.46	Facility		$749.00	$3,748.00	$7,273.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $379.98 / $577.57 / $1,306.26	Professional		$379.98	$577.57	$1,306.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $310.60 / $863.40	Professional		$310.60	$310.60	$863.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $526.39 / $868.14	Professional		$408.01	$526.39	$868.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $411.52 / $411.52 / $414.60	Facility		$411.52	$411.52	$414.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $414.60 / $436.12	Professional		$397.66	$414.60	$436.12
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 $394.64 / $518.08 / $851.44	Professional		$394.64	$518.08	$851.44