Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.51 / $2,543.00 / $8,017.00	Facility		$559.51	$2,543.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.68 / $494.79 / $847.99	Professional		$329.68	$494.79	$847.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $540.76 / $986.08	Professional		$505.89	$540.76	$986.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $591.71	Facility		$591.71	$591.71	$591.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $532.46 / $924.08	Professional		$361.62	$532.46	$924.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $604.29 / $806.73 / $1,043.78	Professional		$604.29	$806.73	$1,043.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,082.77 / $4,082.77 / $11,938.27	Facility		$4,082.77	$4,082.77	$11,938.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.23 / $358.18 / $394.00	Professional		$282.23	$358.18	$394.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,605.00 / $8,017.00	Facility		$832.00	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $329.68 / $519.86 / $1,363.97	Professional		$329.68	$519.86	$1,363.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $643.40 / $643.40 / $1,192.00	Professional		$643.40	$643.40	$1,192.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $591.71	Facility		$591.71	$591.71	$591.71
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $362.87 / $547.64 / $962.10	Professional		$362.87	$547.64	$962.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $441.58 / $606.46	Facility		$345.40	$441.58	$606.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $345.28 / $502.78 / $549.17	Professional		$345.28	$502.78	$549.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.25 / $642.24 / $1,002.26	Professional		$480.25	$642.24	$1,002.26