Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,747.00 / $7,799.00	Facility		$657.00	$2,747.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.53 / $534.63 / $2,065.00	Professional		$464.53	$534.63	$2,065.00
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 $533.28 / $553.40 / $553.40	Professional		$533.28	$553.40	$553.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $604.47	Facility		$604.47	$604.47	$604.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.87 / $625.04 / $1,062.98	Professional		$447.87	$625.04	$1,062.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $632.40 / $853.43 / $1,092.33	Professional		$632.40	$853.43	$1,092.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,057.32 / $3,487.69 / $8,261.91	Facility		$2,057.32	$3,487.69	$8,261.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.23 / $580.95 / $688.50	Professional		$536.23	$580.95	$688.50
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 $472.54 / $609.07 / $2,065.00	Professional		$472.54	$609.07	$2,065.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $673.80 / $736.30 / $1,088.50	Professional		$673.80	$736.30	$1,088.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $604.47	Facility		$604.47	$604.47	$604.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $635.60 / $1,062.98	Professional		$472.96	$635.60	$1,062.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $516.55 / $516.55 / $705.64	Facility		$516.55	$516.55	$705.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $502.45 / $517.53 / $705.64	Professional		$502.45	$517.53	$705.64
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.77 / $615.54 / $988.71	Professional		$448.77	$615.54	$988.71