Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.16 / $2,747.00 / $8,240.00	Facility		$539.16	$2,747.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.21 / $466.48 / $768.17	Professional		$339.21	$466.48	$768.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $508.98 / $528.19 / $962.84	Professional		$508.98	$528.19	$962.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $623.66	Facility		$623.66	$623.66	$623.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.64 / $536.41 / $922.62	Professional		$373.64	$536.41	$922.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.29 / $798.25 / $1,040.33	Professional		$602.29	$798.25	$1,040.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,647.98 / $2,647.98 / $3,233.95	Facility		$2,647.98	$2,647.98	$3,233.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.69 / $368.85 / $524.45	Professional		$346.69	$368.85	$524.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $725.05 / $4,122.00 / $8,247.00	Facility		$725.05	$4,122.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $523.55 / $1,544.00	Professional		$345.87	$523.55	$1,544.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $551.79 / $551.79 / $1,149.09	Professional		$551.79	$551.79	$1,149.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $623.66	Facility		$623.66	$623.66	$623.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $373.64 / $541.12 / $937.49	Professional		$373.64	$541.12	$937.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $357.24 / $460.51 / $539.14	Facility		$357.24	$460.51	$539.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.76 / $493.35 / $535.79	Professional		$356.76	$493.35	$535.79
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.25 / $636.67 / $993.59	Professional		$485.25	$636.67	$993.59