Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.00 / $2,747.00 / $8,017.00	Facility		$743.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.98 / $507.18 / $1,008.51	Professional		$431.98	$507.18	$1,008.51
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 $508.83 / $528.03 / $528.03	Professional		$508.83	$528.03	$528.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $576.94	Facility		$576.94	$576.94	$576.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.34 / $608.29 / $1,004.37	Professional		$429.34	$608.29	$1,004.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.12 / $806.20 / $1,040.02	Professional		$602.12	$806.20	$1,040.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.23 / $4,781.70 / $18,579.96	Facility		$2,100.23	$4,781.70	$18,579.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.29 / $594.09 / $724.93	Professional		$532.29	$594.09	$724.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $736.41 / $3,142.26 / $8,017.00	Facility		$736.41	$3,142.26	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $431.98 / $576.05 / $1,521.32	Professional		$431.98	$576.05	$1,521.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $577.70 / $1,037.30	Professional		$549.29	$577.70	$1,037.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $576.94 / $576.94	Facility		$576.94	$576.94	$576.94
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $443.57 / $629.34 / $1,005.21	Professional		$443.57	$629.34	$1,005.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.93 / $489.93 / $576.35	Facility		$489.93	$489.93	$576.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $477.04 / $490.13 / $576.35	Professional		$477.04	$490.13	$576.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $3,517.00 / $6,368.00	Facility		$1,781.00	$3,517.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.85 / $622.53 / $957.00	Professional		$481.85	$622.53	$957.00