Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $7,629.00	Facility		$540.00	$2,747.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.54 / $419.48 / $793.72	Professional		$284.54	$419.48	$793.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $471.69 / $683.77 / $812.06	Professional		$471.69	$683.77	$812.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $520.24 / $520.24	Facility		$520.24	$520.24	$520.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $484.43 / $815.56	Professional		$317.33	$484.43	$815.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $567.80 / $764.21 / $980.76	Professional		$567.80	$764.21	$980.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,820.93 / $3,487.69 / $8,241.00	Facility		$2,820.93	$3,487.69	$8,241.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $342.52 / $509.18	Professional		$311.38	$342.52	$509.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,715.02 / $8,017.00	Facility		$832.00	$2,715.02	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $460.29 / $1,160.14	Professional		$295.11	$460.29	$1,160.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $642.00 / $1,042.90	Professional		$642.00	$642.00	$1,042.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $520.24 / $520.24	Facility		$520.24	$520.24	$520.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $489.48 / $828.54	Professional		$317.33	$489.48	$828.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $299.50 / $436.04 / $609.23	Facility		$299.50	$436.04	$609.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $299.50 / $463.81 / $509.32	Professional		$299.50	$463.81	$509.32
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.86 / $577.79 / $923.68	Professional		$445.86	$577.79	$923.68