Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,543.00 / $7,799.00	Facility		$918.00	$2,543.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $569.92 / $927.35	Professional		$505.37	$569.92	$927.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $620.92 / $1,009.94	Professional		$598.35	$620.92	$1,009.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Facility		$679.25	$679.25	$679.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.36 / $687.90 / $1,149.91	Professional		$515.36	$687.90	$1,149.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $711.69 / $962.78 / $1,229.28	Professional		$711.69	$962.78	$1,229.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.21 / $3,380.47 / $8,980.74	Facility		$800.21	$3,380.47	$8,980.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.20 / $735.72 / $1,034.72	Professional		$534.20	$735.72	$1,034.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $620.74 / $2,467.00	Professional		$505.37	$620.74	$2,467.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $604.10 / $1,167.09	Professional		$604.10	$604.10	$1,167.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Facility		$679.25	$679.25	$679.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $518.24 / $697.74 / $1,162.56	Professional		$518.24	$697.74	$1,162.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $513.01 / $579.42 / $579.42	Facility		$513.01	$579.42	$579.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $513.01 / $579.42 / $617.05	Professional		$513.01	$579.42	$617.05
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.72 / $669.95 / $1,117.42	Professional		$498.72	$669.95	$1,117.42