Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,679.00 / $8,017.00	Facility		$540.00	$2,679.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.28 / $507.12 / $748.05	Professional		$450.28	$507.12	$748.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $511.57 / $540.22 / $918.33	Professional		$511.57	$540.22	$918.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.04 / $607.91 / $1,001.56	Professional		$471.04	$607.91	$1,001.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $607.33 / $822.01 / $1,049.03	Professional		$607.33	$822.01	$1,049.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,384.84 / $1,384.84 / $1,384.84	Facility		$1,384.84	$1,384.84	$1,384.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.94 / $486.94 / $560.87	Professional		$486.94	$486.94	$560.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $2,679.00 / $8,017.00	Facility		$934.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $458.86 / $532.22 / $1,659.00	Professional		$458.86	$532.22	$1,659.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $702.40 / $702.40 / $1,049.80	Professional		$702.40	$702.40	$1,049.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $471.04 / $620.69 / $1,014.12	Professional		$471.04	$620.69	$1,014.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $499.11 / $620.50	Facility		$490.89	$499.11	$620.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $484.79 / $499.11 / $540.83	Professional		$484.79	$499.11	$540.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $611.77 / $952.08	Professional		$467.92	$611.77	$952.08