Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,747.00 / $8,017.00	Facility		$657.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $857.73 / $1,215.45	Professional		$137.07	$857.73	$1,215.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.68 / $1,495.87 / $1,861.65	Professional		$758.68	$1,495.87	$1,861.65
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $1,290.16 / $2,243.81 / $2,792.48	Professional	50	$1,290.16	$2,243.81	$2,792.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.33 / $811.42 / $1,775.84	Professional		$166.33	$811.42	$1,775.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.76 / $1,409.04 / $1,462.37	Professional		$1,061.76	$1,409.04	$1,462.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,063.39 / $6,968.89 / $9,676.86	Facility		$5,063.39	$6,968.89	$9,676.86
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,642.52 / $3,642.52 / $6,482.39	Facility	50	$3,642.52	$3,642.52	$6,482.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,077.00 / $8,017.00	Facility		$832.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $872.95 / $1,849.55	Professional		$146.53	$872.95	$1,849.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $371.00 / $2,687.60	Professional		$6.00	$371.00	$2,687.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $870.51 / $1,823.49	Professional		$167.06	$870.51	$1,823.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $165.87 / $1,081.53	Facility		$145.58	$165.87	$1,081.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $896.63 / $998.14	Professional		$145.58	$896.63	$998.14
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.23 / $1,164.67 / $1,954.11	Professional		$883.23	$1,164.67	$1,954.11