Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.04 / $3,297.68 / $7,629.00	Facility		$852.04	$3,297.68	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $521.20 / $946.43	Professional		$469.82	$521.20	$946.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $535.44 / $555.64 / $836.86	Professional		$535.44	$555.64	$836.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $617.76	Facility		$617.76	$617.76	$617.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $638.01 / $1,077.24	Professional		$492.75	$638.01	$1,077.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.87 / $868.55 / $1,115.58	Professional		$645.87	$868.55	$1,115.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,406.90 / $2,406.90 / $2,406.90	Facility		$2,406.90	$2,406.90	$2,406.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.55 / $553.60 / $612.84	Professional		$467.55	$553.60	$612.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $852.04 / $3,839.00 / $8,017.00	Facility		$852.04	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $584.21 / $2,348.00	Professional		$469.82	$584.21	$2,348.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.10 / $613.10 / $1,117.50	Professional		$613.10	$613.10	$1,117.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $617.76	Facility		$617.76	$617.76	$617.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $492.87 / $645.95 / $1,077.24	Professional		$492.87	$645.95	$1,077.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $534.53 / $534.53 / $629.35	Facility		$534.53	$534.53	$629.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $534.53 / $629.35	Professional		$524.66	$534.53	$629.35
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 $454.59 / $628.19 / $976.17	Professional		$454.59	$628.19	$976.17