Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,142.00 / $7,799.00	Facility		$882.00	$3,142.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.11 / $578.94 / $1,399.11	Professional		$495.11	$578.94	$1,399.11
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 $574.00 / $595.66 / $712.21	Professional		$574.00	$595.66	$712.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.83 / $688.07 / $1,155.40	Professional		$515.83	$688.07	$1,155.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $681.29 / $922.01 / $1,176.77	Professional		$681.29	$922.01	$1,176.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,380.52 / $6,380.52 / $8,811.91	Facility		$6,380.52	$6,380.52	$8,811.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.59 / $580.33 / $627.66	Professional		$568.59	$580.33	$627.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $634.25 / $2,839.11	Professional		$512.79	$634.25	$2,839.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $868.20 / $868.20 / $1,172.40	Professional		$868.20	$868.20	$1,172.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $520.30 / $704.28 / $1,165.51	Professional		$520.30	$704.28	$1,165.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $559.28 / $559.28 / $799.80	Facility		$559.28	$559.28	$799.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $542.92 / $561.13 / $799.80	Professional		$542.92	$561.13	$799.80
United Facility/Professional Facility Modifier Low / Median / High Price $859.00 / $2,113.00 / $4,300.00	Facility		$859.00	$2,113.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.72 / $682.30 / $1,058.52	Professional		$499.72	$682.30	$1,058.52