Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.74 / $4,761.00 / $8,451.00	Facility		$1,055.74	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.85 / $972.84 / $1,237.34	Professional		$874.85	$972.84	$1,237.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $973.41 / $1,010.14 / $1,010.14	Professional		$973.41	$1,010.14	$1,010.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,025.00 / $8,073.00	Facility		$739.00	$3,025.00	$8,073.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.56 / $1,193.81 / $1,903.93	Professional		$780.56	$1,193.81	$1,903.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,223.44 / $2,223.44 / $2,223.44	Facility		$2,223.44	$2,223.44	$2,223.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.95 / $1,567.62 / $1,996.60	Professional		$1,178.95	$1,567.62	$1,996.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,680.90 / $10,680.90 / $10,680.90	Facility		$10,680.90	$10,680.90	$10,680.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,350.00 / $9,617.00	Facility		$1,151.00	$5,350.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $839.73 / $1,055.74 / $5,041.00	Professional		$839.73	$1,055.74	$5,041.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $834.40 / $834.40 / $834.40	Facility		$834.40	$834.40	$834.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,050.30 / $2,597.40	Professional		$6.00	$1,050.30	$2,597.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,760.00 / $7,820.94	Facility		$739.00	$2,760.00	$7,820.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $785.75 / $1,192.18 / $1,986.13	Professional		$785.75	$1,192.18	$1,986.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $916.24 / $955.17 / $955.17	Facility		$916.24	$955.17	$955.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $916.24 / $955.17 / $1,023.16	Professional		$916.24	$955.17	$1,023.16
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 $806.22 / $1,079.45 / $1,875.77	Professional		$806.22	$1,079.45	$1,875.77