Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,747.00 / $8,017.00	Facility		$918.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $613.99 / $913.24	Professional		$555.79	$613.99	$913.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $648.11 / $1,117.11	Professional		$624.54	$648.11	$1,117.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.03 / $744.85 / $1,252.19	Professional		$565.03	$744.85	$1,252.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.46 / $1,004.14 / $1,280.70	Professional		$741.46	$1,004.14	$1,280.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,014.24 / $3,014.24 / $3,014.24	Facility		$3,014.24	$3,014.24	$3,014.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.65 / $618.65 / $618.65	Professional		$618.65	$618.65	$618.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $644.45 / $2,843.00	Professional		$555.79	$644.45	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $562.79 / $1,270.20	Professional		$562.79	$562.79	$1,270.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $565.03 / $762.19 / $1,257.76	Professional		$565.03	$762.19	$1,257.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.10 / $605.52 / $605.52	Facility		$478.10	$605.52	$605.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.10 / $605.52 / $643.79	Professional		$478.10	$605.52	$643.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.71 / $740.99 / $1,156.36	Professional		$539.71	$740.99	$1,156.36