Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.35 / $2,240.00 / $7,629.00	Facility		$201.35	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $194.67 / $673.64	Professional		$162.91	$194.67	$673.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $505.14 / $796.62	Professional		$297.18	$505.14	$796.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,235.59 / $2,434.58	Facility		$491.00	$1,235.59	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $258.70 / $799.38	Professional		$175.50	$258.70	$799.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $420.06 / $420.06 / $420.06	Facility		$420.06	$420.06	$420.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $615.13 / $828.86 / $1,044.01	Professional		$615.13	$828.86	$1,044.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,512.79 / $4,512.79 / $6,086.09	Facility		$4,512.79	$4,512.79	$6,086.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $238.60 / $970.80	Professional		$168.67	$238.60	$970.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $369.60 / $480.40	Professional		$3.00	$369.60	$480.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $1,225.90 / $2,316.65	Facility		$315.74	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $259.36 / $774.60	Professional		$179.38	$259.36	$774.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $181.36 / $524.09	Facility		$169.73	$181.36	$524.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $191.91 / $569.16	Professional		$174.73	$191.91	$569.16
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $228.00 / $461.51	Professional		$161.50	$228.00	$461.51