Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $3,186.30 / $7,629.00	Facility		$628.16	$3,186.30	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.83 / $435.80 / $912.64	Professional		$381.83	$435.80	$912.64
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 $428.54 / $614.65 / $870.93	Professional		$428.54	$614.65	$870.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.01 / $531.63 / $860.88	Professional		$411.01	$531.63	$860.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $507.12 / $688.89 / $875.94	Professional		$507.12	$688.89	$875.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,563.36 / $3,095.58 / $8,997.37	Facility		$2,563.36	$3,095.58	$8,997.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.67 / $407.74 / $551.25	Professional		$406.67	$407.74	$551.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,623.00 / $8,017.00	Facility		$657.00	$3,623.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $383.08 / $498.02 / $1,426.00	Professional		$383.08	$498.02	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $527.10 / $527.10 / $877.10	Professional		$527.10	$527.10	$877.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $484.32 / $484.32 / $484.32	Facility		$484.32	$484.32	$484.32
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $48.13 / $48.13 / $48.13	Facility	AS	$48.13	$48.13	$48.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $412.65 / $534.37 / $880.18	Professional		$412.65	$534.37	$880.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.01 / $416.01 / $459.17	Facility		$416.01	$416.01	$459.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $402.55 / $418.73 / $459.17	Professional		$402.55	$418.73	$459.17
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 $404.51 / $521.77 / $846.45	Professional		$404.51	$521.77	$846.45