Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.08 / $3,627.00 / $8,247.00	Facility		$749.08	$3,627.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.69 / $518.57 / $836.43	Professional		$459.69	$518.57	$836.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $516.44 / $642.70 / $928.57	Professional		$516.44	$642.70	$928.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $623.09 / $1,035.28	Professional		$483.75	$623.09	$1,035.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $612.83 / $830.23 / $1,058.53	Professional		$612.83	$830.23	$1,058.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.94 / $5,031.35 / $14,543.37	Facility		$4,019.94	$5,031.35	$14,543.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.83 / $669.83 / $669.83	Professional		$669.83	$669.83	$669.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,194.00 / $10,009.00	Facility		$832.00	$4,194.00	$10,009.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $474.85 / $566.02 / $2,671.47	Professional		$474.85	$566.02	$2,671.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $1,051.59	Professional		$612.00	$612.00	$1,051.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $483.75 / $638.84 / $1,051.93	Professional		$483.75	$638.84	$1,051.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $500.40 / $500.40 / $536.02	Facility		$500.40	$500.40	$536.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $485.72 / $502.13 / $536.02	Professional		$485.72	$502.13	$536.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $5,676.40 / $10,988.93	Facility		$2,468.00	$5,676.40	$10,988.93
United Facility/Professional Professional Modifier Low / Median / High Price $474.97 / $606.51 / $1,000.63	Professional		$474.97	$606.51	$1,000.63