Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $4,534.00 / $8,240.00	Facility		$926.00	$4,534.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $585.62 / $855.23	Professional		$494.38	$585.62	$855.23
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 $589.23 / $611.47 / $611.47	Professional		$589.23	$611.47	$611.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,998.88 / $3,938.52	Facility		$649.00	$1,998.88	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $683.19 / $1,204.34	Professional		$459.93	$683.19	$1,204.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.42 / $1,336.42 / $1,336.42	Facility		$1,336.42	$1,336.42	$1,336.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $700.03 / $931.73 / $1,191.24	Professional		$700.03	$931.73	$1,191.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.57 / $2,787.57 / $6,855.67	Facility		$2,787.57	$2,787.57	$6,855.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.40 / $574.40 / $618.54	Professional		$574.40	$574.40	$618.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $656.31 / $2,025.59	Professional		$494.38	$656.31	$2,025.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $657.30 / $657.30 / $657.30	Facility		$657.30	$657.30	$657.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $657.30 / $889.40 / $1,288.46	Professional		$657.30	$889.40	$1,288.46
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $1,983.20 / $3,747.73	Facility		$649.00	$1,983.20	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $683.19 / $1,201.57	Professional		$463.43	$683.19	$1,201.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $574.16 / $574.16 / $628.11	Facility		$574.16	$574.16	$628.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $579.25 / $628.11	Professional		$554.00	$579.25	$628.11
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 $477.37 / $622.91 / $1,063.84	Professional		$477.37	$622.91	$1,063.84