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 $705.15 / $798.14 / $1,188.03	Professional		$705.15	$798.14	$1,188.03
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 $801.59 / $831.84 / $1,469.87	Professional		$801.59	$831.84	$1,469.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $962.31 / $1,648.17	Professional		$663.28	$962.31	$1,648.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,805.24 / $1,805.24 / $1,805.24	Facility		$1,805.24	$1,805.24	$1,805.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $969.89 / $1,248.11 / $1,611.09	Professional		$969.89	$1,248.11	$1,611.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,327.00 / $18,718.25 / $26,151.44	Facility		$5,327.00	$18,718.25	$26,151.44
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 $700.00 / $856.28 / $2,843.00	Professional		$700.00	$856.28	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $740.00 / $740.00	Facility		$740.00	$740.00	$740.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $998.40 / $1,697.30	Professional		$740.00	$998.40	$1,697.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $800.00 / $2,151.00	Facility		$500.00	$800.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $957.79 / $1,648.17	Professional		$663.28	$957.79	$1,648.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $683.87 / $783.10 / $783.10	Facility		$683.87	$783.10	$783.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $683.87 / $783.10 / $826.53	Professional		$683.87	$783.10	$826.53
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 $669.82 / $900.84 / $1,546.74	Professional		$669.82	$900.84	$1,546.74