Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.31 / $3,066.00 / $7,799.00	Facility		$995.31	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.67 / $921.70 / $1,337.32	Professional		$850.67	$921.70	$1,337.32
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 $915.89 / $950.46 / $950.46	Professional		$915.89	$950.46	$950.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.41 / $1,107.00 / $1,876.88	Professional		$880.41	$1,107.00	$1,876.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.65 / $1,480.67 / $1,894.21	Professional		$1,096.65	$1,480.67	$1,894.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.40 / $1,001.82 / $1,004.23	Professional		$999.40	$1,001.82	$1,004.23
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 $850.67 / $995.31 / $4,796.92	Professional		$850.67	$995.31	$4,796.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,149.00 / $1,980.90	Professional		$1,149.00	$1,149.00	$1,980.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $886.05 / $1,127.31 / $1,934.05	Professional		$886.05	$1,127.31	$1,934.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $914.08 / $914.08 / $1,041.32	Facility		$914.08	$914.08	$1,041.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $892.37 / $914.08 / $1,041.32	Professional		$892.37	$914.08	$1,041.32
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 $840.42 / $1,101.09 / $1,700.23	Professional		$840.42	$1,101.09	$1,700.23