Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.86 / $5,247.35 / $63,889.15	Facility		$483.86	$5,247.35	$63,889.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $372.73 / $875.27	Professional		$305.08	$372.73	$875.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $339.67 / $352.48 / $352.48	Professional		$339.67	$352.48	$352.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $387.23 / $387.23	Facility		$387.23	$387.23	$387.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.75 / $466.79 / $756.58	Professional		$329.75	$466.79	$756.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.55 / $542.29 / $690.14	Professional		$399.55	$542.29	$690.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,533.60 / $68,148.63 / $146,120.65	Facility		$4,533.60	$68,148.63	$146,120.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.89 / $379.64 / $403.12	Professional		$358.89	$379.64	$403.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $4,866.00 / $67,328.00	Facility		$540.00	$4,866.00	$67,328.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $475.27 / $1,006.83	Professional		$310.64	$475.27	$1,006.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.70 / $584.70 / $799.60	Professional		$584.70	$584.70	$799.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $387.23 / $387.23	Facility		$387.23	$387.23	$387.23
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $329.75 / $473.78 / $757.85	Professional		$329.75	$473.78	$757.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $353.49 / $353.49 / $611.25	Facility		$353.49	$353.49	$611.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $341.71 / $356.17 / $611.25	Professional		$341.71	$356.17	$611.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $8,639.00 / $18,509.00	Facility		$3,742.00	$8,639.00	$18,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.08 / $481.13 / $706.86	Professional		$346.08	$481.13	$706.86