Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $1,901.00 / $7,629.00	Facility		$573.46	$1,901.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.69 / $566.05 / $814.70	Professional		$504.69	$566.05	$814.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $589.88 / $612.14 / $1,029.68	Professional		$589.88	$612.14	$1,029.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.84 / $938.84 / $938.84	Facility		$938.84	$938.84	$938.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.71 / $669.24 / $1,102.58	Professional		$507.71	$669.24	$1,102.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $704.21 / $951.94 / $1,216.35	Professional		$704.21	$951.94	$1,216.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,119.72 / $4,119.72 / $4,119.72	Facility		$4,119.72	$4,119.72	$4,119.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.04 / $597.04 / $597.04	Professional		$597.04	$597.04	$597.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $2,266.00 / $8,017.00	Facility		$573.46	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $517.90 / $607.92 / $1,426.00	Professional		$517.90	$607.92	$1,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $644.50 / $733.60 / $1,207.20	Professional		$644.50	$733.60	$1,207.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $938.84 / $938.84 / $938.84	Facility		$938.84	$938.84	$938.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $508.79 / $682.53 / $1,126.27	Professional		$508.79	$682.53	$1,126.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $538.72 / $571.29	Facility		$507.68	$538.72	$571.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.07 / $556.49 / $610.16	Professional		$524.07	$556.49	$610.16
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $690.05 / $1,222.54	Professional		$522.04	$690.05	$1,222.54