Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,505.00 / $8,017.00	Facility		$540.00	$2,505.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $326.79 / $533.99	Professional		$278.58	$326.79	$533.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $340.00 / $340.00	Professional		$327.64	$340.00	$340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $369.75 / $369.75	Facility		$369.75	$369.75	$369.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $403.69 / $648.66	Professional		$309.08	$403.69	$648.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $384.41 / $512.12 / $663.97	Professional		$384.41	$512.12	$663.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.41 / $3,877.46 / $7,010.80	Facility		$1,147.41	$3,877.46	$7,010.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $363.39 / $398.98	Professional		$343.53	$363.39	$398.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $544.72 / $2,266.00 / $8,017.00	Facility		$544.72	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $345.40 / $1,023.00	Professional		$278.58	$345.40	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $390.30 / $409.90 / $662.10	Professional		$390.30	$409.90	$662.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $369.75 / $369.75	Facility		$369.75	$369.75	$369.75
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $36.69 / $36.69 / $36.69	Facility	AS	$36.69	$36.69	$36.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $411.21 / $650.16	Professional		$309.08	$411.21	$650.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $317.14 / $425.76	Facility		$317.14	$317.14	$425.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $317.14 / $425.76	Professional		$309.30	$317.14	$425.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $411.78 / $609.37	Professional		$319.45	$411.78	$609.37