Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.05 / $2,747.00 / $8,113.00	Facility		$496.05	$2,747.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $396.41 / $758.30	Professional		$292.31	$396.41	$758.30
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 $465.05 / $482.60 / $482.60	Professional		$465.05	$482.60	$482.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.00 / $1,865.00 / $3,858.13	Facility		$489.00	$1,865.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.62 / $450.87 / $805.58	Professional		$306.62	$450.87	$805.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $770.34 / $770.34 / $770.34	Facility		$770.34	$770.34	$770.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.53 / $751.65 / $959.60	Professional		$560.53	$751.65	$959.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.05 / $6,215.63 / $12,311.04	Facility		$2,361.05	$6,215.63	$12,311.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $357.60 / $413.03	Professional		$332.39	$357.60	$413.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,675.00 / $8,115.00	Facility		$540.00	$2,675.00	$8,115.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $313.38 / $481.81 / $1,175.44	Professional		$313.38	$481.81	$1,175.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $332.30 / $332.30 / $332.30	Facility		$332.30	$332.30	$332.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $332.30 / $424.70 / $1,023.50	Professional		$332.30	$424.70	$1,023.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,403.00 / $3,671.23	Facility		$460.00	$1,403.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $454.94 / $804.89	Professional		$307.95	$454.94	$804.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $328.51 / $331.50 / $460.35	Facility		$328.51	$331.50	$460.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $436.55 / $496.32	Professional		$327.45	$436.55	$496.32
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 $320.51 / $492.83 / $821.25	Professional		$320.51	$492.83	$821.25