Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.35 / $2,675.00 / $8,113.00	Facility		$662.35	$2,675.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $448.65 / $1,075.84	Professional		$380.62	$448.65	$1,075.84
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 $455.68 / $472.88 / $472.88	Professional		$455.68	$472.88	$472.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $517.79	Facility		$517.79	$517.79	$517.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $542.16 / $909.32	Professional		$409.58	$542.16	$909.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.17 / $730.96 / $936.49	Professional		$542.17	$730.96	$936.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $3,730.99 / $9,576.43	Facility		$1,872.50	$3,730.99	$9,576.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.75 / $469.47 / $1,040.84	Professional		$400.75	$469.47	$1,040.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,389.00 / $8,427.00	Facility		$934.00	$3,389.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $495.31 / $1,539.00	Professional		$380.62	$495.31	$1,539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $744.10 / $744.10 / $927.90	Professional		$744.10	$744.10	$927.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $517.79	Facility		$517.79	$517.79	$517.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $410.28 / $553.54 / $909.32	Professional		$410.28	$553.54	$909.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $441.81 / $441.81 / $704.39	Facility		$441.81	$441.81	$704.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $430.38 / $441.81 / $704.39	Professional		$430.38	$441.81	$704.39
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 $400.91 / $536.00 / $833.42	Professional		$400.91	$536.00	$833.42