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 $471.12 / $531.79 / $773.95	Professional		$471.12	$531.79	$773.95
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 $529.28 / $555.00 / $941.58	Professional		$529.28	$555.00	$941.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.21 / $665.36 / $1,087.85	Professional		$509.21	$665.36	$1,087.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $629.02 / $851.64 / $1,086.50	Professional		$629.02	$851.64	$1,086.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,807.09 / $6,807.09 / $6,807.09	Facility		$6,807.09	$6,807.09	$6,807.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.54 / $745.54 / $745.54	Professional		$745.54	$745.54	$745.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,077.00 / $8,017.00	Facility		$954.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $471.12 / $584.76 / $2,730.09	Professional		$471.12	$584.76	$2,730.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $866.20 / $866.20 / $1,078.90	Professional		$866.20	$866.20	$1,078.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.51 / $674.08 / $1,114.32	Professional		$512.51	$674.08	$1,114.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $513.51 / $513.51 / $793.02	Facility		$513.51	$513.51	$793.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $514.82 / $793.02	Professional		$498.88	$514.82	$793.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $4,476.00 / $10,443.12	Facility		$2,332.00	$4,476.00	$10,443.12
United Facility/Professional Professional Modifier Low / Median / High Price $505.48 / $699.05 / $1,030.28	Professional		$505.48	$699.05	$1,030.28