Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,048.00 / $8,451.00	Facility		$1,020.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.69 / $888.75 / $1,294.59	Professional		$790.69	$888.75	$1,294.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $877.82 / $951.09 / $1,612.67	Professional		$877.82	$951.09	$1,612.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.97 / $1,113.07 / $1,812.31	Professional		$846.97	$1,113.07	$1,812.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.40 / $1,403.66 / $1,786.68	Professional		$1,034.40	$1,403.66	$1,786.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.35 / $1,086.35 / $1,086.35	Professional		$1,086.35	$1,086.35	$1,086.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,054.00 / $4,993.00 / $10,247.00	Facility		$1,054.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $790.69 / $980.62 / $4,321.14	Professional		$790.69	$980.62	$4,321.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,325.00 / $1,787.00	Professional		$1,325.00	$1,325.00	$1,787.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $846.97 / $1,117.98 / $1,820.14	Professional		$846.97	$1,117.98	$1,820.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $858.00 / $1,089.89	Facility		$858.00	$858.00	$1,089.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $864.41 / $1,089.89	Professional		$829.50	$864.41	$1,089.89
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 $845.45 / $1,112.44 / $1,729.73	Professional		$845.45	$1,112.44	$1,729.73