Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.44 / $2,340.00 / $7,629.00	Facility		$425.44	$2,340.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $396.79 / $517.09	Professional		$271.50	$396.79	$517.09
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 $431.37 / $447.65 / $833.60	Professional		$431.37	$447.65	$833.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Facility		$503.06	$503.06	$503.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $442.51 / $761.08	Professional		$298.64	$442.51	$761.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $513.40 / $682.94 / $886.79	Professional		$513.40	$682.94	$886.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,536.38 / $1,536.38 / $1,872.50	Facility		$1,536.38	$1,536.38	$1,872.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.79 / $297.35 / $303.20	Professional		$280.79	$297.35	$303.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $627.15 / $2,543.00 / $8,017.00	Facility		$627.15	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $418.37 / $1,440.77	Professional		$274.67	$418.37	$1,440.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $468.20 / $468.20 / $941.50	Professional		$468.20	$468.20	$941.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $503.06 / $503.06 / $503.06	Facility		$503.06	$503.06	$503.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $448.34 / $789.41	Professional		$298.64	$448.34	$789.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $286.42 / $400.06 / $461.37	Facility		$286.42	$400.06	$461.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $419.19 / $456.54	Professional		$286.02	$419.19	$456.54
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 $396.34 / $525.96 / $884.10	Professional		$396.34	$525.96	$884.10