Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,747.00 / $8,017.00	Facility		$832.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.42 / $281.48 / $379.35	Professional		$254.42	$281.48	$379.35
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 $276.95 / $287.39 / $287.39	Professional		$276.95	$287.39	$287.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,865.00 / $8,751.76	Facility		$429.00	$1,865.00	$8,751.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $380.89 / $615.75	Professional		$265.77	$380.89	$615.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.54 / $602.54 / $602.54	Facility		$602.54	$602.54	$602.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $417.61 / $536.82	Professional		$317.77	$417.61	$536.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,979.29 / $14,979.29 / $14,979.29	Facility		$14,979.29	$14,979.29	$14,979.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $261.49 / $339.65 / $1,554.16	Professional		$261.49	$339.65	$1,554.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $382.10 / $382.10 / $382.10	Facility		$382.10	$382.10	$382.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $453.50 / $662.40	Professional		$4.00	$453.50	$662.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $1,403.00 / $8,327.79	Facility		$315.85	$1,403.00	$8,327.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $375.83 / $637.88	Professional		$265.77	$375.83	$637.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $270.07 / $270.07 / $322.13	Facility		$270.07	$270.07	$322.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.38 / $272.98 / $322.13	Professional		$260.38	$272.98	$322.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,265.00 / $3,331.00 / $6,000.00	Facility		$1,265.00	$3,331.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $345.96 / $559.47	Professional		$251.37	$345.96	$559.47