Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,748.00 / $8,017.00	Facility		$540.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $361.17 / $580.14	Professional		$264.24	$361.17	$580.14
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 $380.94 / $548.79 / $758.54	Professional		$380.94	$548.79	$758.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,978.20 / $3,928.61	Facility		$491.00	$1,978.20	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $403.40 / $656.53	Professional		$280.06	$403.40	$656.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $640.12 / $640.12 / $640.12	Facility		$640.12	$640.12	$640.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $611.54 / $781.37	Professional		$460.86	$611.54	$781.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,844.89 / $6,850.20 / $10,404.69	Facility		$4,844.89	$6,850.20	$10,404.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,068.00 / $8,017.00	Facility		$1,013.00	$4,068.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $277.32 / $406.60 / $1,266.00	Professional		$277.32	$406.60	$1,266.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $372.40 / $372.40	Facility		$372.40	$372.40	$372.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $448.50 / $1,037.50	Professional		$5.00	$448.50	$1,037.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $1,657.00 / $3,738.29	Facility		$476.27	$1,657.00	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $285.19 / $405.61 / $656.56	Professional		$285.19	$405.61	$656.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $276.30 / $286.74 / $379.69	Facility		$276.30	$286.74	$379.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.49 / $323.11 / $408.06	Professional		$275.49	$323.11	$408.06
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.04 / $432.81 / $711.72	Professional		$323.04	$432.81	$711.72