Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,868.00 / $8,451.00	Facility		$540.00	$2,868.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.39 / $386.63 / $523.16	Professional		$274.39	$386.63	$523.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $425.29 / $441.34 / $821.60	Professional		$425.29	$441.34	$821.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $8,051.32	Facility		$489.00	$1,865.00	$8,051.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.86 / $445.98 / $754.87	Professional		$295.86	$445.98	$754.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $654.02 / $654.02 / $654.02	Facility		$654.02	$654.02	$654.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $678.19 / $866.52	Professional		$512.01	$678.19	$866.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,272.00 / $3,272.00 / $12,495.40	Facility		$3,272.00	$3,272.00	$12,495.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,654.00 / $8,247.00	Facility		$954.00	$3,654.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $436.74 / $1,596.59	Professional		$281.80	$436.74	$1,596.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $327.30 / $327.30 / $327.30	Facility		$327.30	$327.30	$327.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $425.30 / $1,162.40	Professional		$5.00	$425.30	$1,162.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $7,661.29	Facility		$460.00	$1,403.00	$7,661.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $451.65 / $781.28	Professional		$299.77	$451.65	$781.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $279.89 / $418.06	Facility		$261.01	$279.89	$418.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $296.80 / $448.89	Professional		$273.52	$296.80	$448.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.72 / $502.12 / $869.78	Professional		$347.72	$502.12	$869.78