Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.44 / $3,513.27 / $9,633.65	Facility		$620.44	$3,513.27	$9,633.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $439.10 / $1,090.15	Professional		$379.37	$439.10	$1,090.15
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 $423.77 / $607.08 / $859.73	Professional		$423.77	$607.08	$859.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.40 / $525.97 / $853.32	Professional		$405.40	$525.97	$853.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.80 / $684.12 / $866.74	Professional		$501.80	$684.12	$866.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,922.66 / $7,772.94 / $11,895.76	Facility		$1,922.66	$7,772.94	$11,895.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.37 / $435.81 / $594.49	Professional		$402.37	$435.81	$594.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $3,838.00 / $10,527.00	Facility		$712.38	$3,838.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $576.66 / $1,304.24	Professional		$379.37	$576.66	$1,304.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $593.89 / $1,295.80 / $1,364.20	Professional		$593.89	$1,295.80	$1,364.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $527.11 / $866.70	Professional		$407.39	$527.11	$866.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $410.89 / $410.89 / $415.43	Facility		$410.89	$410.89	$415.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $397.27 / $414.14 / $435.43	Professional		$397.27	$414.14	$435.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.65 / $522.10 / $837.21	Professional		$399.65	$522.10	$837.21