Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $8,017.00	Facility		$594.00	$2,371.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $348.50 / $945.10	Professional		$309.83	$348.50	$945.10
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 $374.33 / $388.45 / $388.45	Professional		$374.33	$388.45	$388.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $424.06	Facility		$424.06	$424.06	$424.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $440.96 / $728.84	Professional		$303.58	$440.96	$728.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $444.53 / $603.97 / $767.83	Professional		$444.53	$603.97	$767.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,321.39 / $2,321.39 / $2,321.39	Facility		$2,321.39	$2,321.39	$2,321.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.31 / $433.95 / $487.96	Professional		$417.31	$433.95	$487.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $607.58 / $2,326.00 / $8,326.45	Facility		$607.58	$2,326.00	$8,326.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.82 / $410.84 / $1,422.00	Professional		$309.82	$410.84	$1,422.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.80 / $402.30 / $756.10	Professional		$382.80	$402.30	$756.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $424.06	Facility		$424.06	$424.06	$424.06
Priority Health Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $322.32 / $449.76 / $733.52	Professional		$322.32	$449.76	$733.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $357.81 / $357.81 / $383.82	Facility		$357.81	$357.81	$383.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.92 / $359.45 / $383.82	Professional		$346.92	$359.45	$383.82
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 $320.05 / $439.52 / $680.85	Professional		$320.05	$439.52	$680.85