Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $2,791.00 / $7,629.00	Facility		$954.00	$2,791.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.12 / $891.77 / $1,411.86	Professional		$795.12	$891.77	$1,411.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $888.00 / $948.61 / $1,608.52	Professional		$888.00	$948.61	$1,608.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,003.62	Facility		$1,003.62	$1,003.62	$1,003.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.74 / $1,073.42 / $1,785.63	Professional		$837.74	$1,073.42	$1,785.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.05 / $1,423.15 / $1,813.72	Professional		$1,050.05	$1,423.15	$1,813.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,746.77 / $8,746.77 / $8,746.77	Facility		$8,746.77	$8,746.77	$8,746.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,838.00 / $8,017.00	Facility		$1,013.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $802.25 / $925.31 / $3,494.00	Professional		$802.25	$925.31	$3,494.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,139.20 / $1,805.30	Professional		$1,139.20	$1,139.20	$1,805.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,003.62	Facility		$1,003.62	$1,003.62	$1,003.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $837.74 / $1,100.96 / $1,823.30	Professional		$837.74	$1,100.96	$1,823.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $864.96 / $864.96 / $936.46	Facility		$864.96	$864.96	$936.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $837.97 / $869.62 / $936.46	Professional		$837.97	$869.62	$936.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.89 / $1,108.01 / $1,656.11	Professional		$838.89	$1,108.01	$1,656.11