Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,066.00 / $8,017.00	Facility		$882.00	$3,066.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.82 / $455.22 / $738.56	Professional		$404.82	$455.22	$738.56
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 $456.16 / $480.00 / $816.46	Professional		$456.16	$480.00	$816.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $563.82 / $911.43	Professional		$438.85	$563.82	$911.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $541.44 / $730.42 / $935.22	Professional		$541.44	$730.42	$935.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,396.49 / $1,396.49 / $7,644.26	Facility		$1,396.49	$1,396.49	$7,644.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $451.86 / $506.43	Professional		$449.56	$451.86	$506.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $418.17 / $501.68 / $1,820.00	Professional		$418.17	$501.68	$1,820.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $664.30 / $664.30 / $935.80	Professional		$664.30	$664.30	$935.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $567.25 / $930.12	Professional		$438.85	$567.25	$930.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $441.85 / $441.85 / $614.36	Facility		$441.85	$441.85	$614.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $442.40 / $614.36	Professional		$429.84	$442.40	$614.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.47 / $569.57 / $890.28	Professional		$429.47	$569.57	$890.28