Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.40 / $3,830.00 / $8,240.00	Facility		$978.40	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.12 / $909.63 / $1,317.42	Professional		$836.12	$909.63	$1,317.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $900.95 / $934.95 / $934.95	Professional		$900.95	$934.95	$934.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,035.32 / $1,035.32	Facility		$1,035.32	$1,035.32	$1,035.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.67 / $1,104.93 / $1,848.57	Professional		$877.67	$1,104.93	$1,848.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.14 / $1,456.69 / $1,863.98	Professional		$1,079.14	$1,456.69	$1,863.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,020.58	Professional		$892.45	$892.45	$1,020.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $845.57 / $987.56 / $4,718.74	Professional		$845.57	$987.56	$4,718.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.09 / $1,149.09 / $1,948.60	Professional		$1,149.09	$1,149.09	$1,948.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.32 / $1,035.32 / $1,035.32	Facility		$1,035.32	$1,035.32	$1,035.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $877.67 / $1,112.33 / $1,901.18	Professional		$877.67	$1,112.33	$1,901.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $898.39 / $898.39 / $1,062.31	Facility		$898.39	$898.39	$1,062.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $877.40 / $898.39 / $1,062.31	Professional		$877.40	$898.39	$1,062.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.59 / $1,115.50 / $1,761.92	Professional		$855.59	$1,115.50	$1,761.92