Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.83 / $2,791.00 / $7,086.00	Facility		$750.83	$2,791.00	$7,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.95 / $525.32 / $1,284.80	Professional		$451.95	$525.32	$1,284.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $524.71 / $544.51 / $810.72	Professional		$524.71	$544.51	$810.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $595.16	Facility		$595.16	$595.16	$595.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.97 / $630.33 / $1,047.75	Professional		$477.97	$630.33	$1,047.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $622.91 / $840.83 / $1,075.95	Professional		$622.91	$840.83	$1,075.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.93 / $3,146.54 / $7,116.43	Facility		$815.93	$3,146.54	$7,116.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.66 / $534.09 / $824.54	Professional		$499.66	$534.09	$824.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $767.74 / $3,744.00 / $8,017.00	Facility		$767.74	$3,744.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $465.31 / $687.71 / $1,601.42	Professional		$465.31	$687.71	$1,601.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $858.10 / $858.10 / $1,066.20	Professional		$858.10	$858.10	$1,066.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $595.16 / $595.16 / $595.16	Facility		$595.16	$595.16	$595.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $479.89 / $643.28 / $1,052.80	Professional		$479.89	$643.28	$1,052.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $508.44 / $508.44 / $839.26	Facility		$508.44	$508.44	$839.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $494.53 / $509.16 / $839.26	Professional		$494.53	$509.16	$839.26
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 $453.87 / $619.85 / $1,008.84	Professional		$453.87	$619.85	$1,008.84