Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.09 / $2,747.00 / $8,017.00	Facility		$768.09	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $661.36 / $956.15	Professional		$475.25	$661.36	$956.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $668.46 / $693.68 / $1,256.39	Professional		$668.46	$693.68	$1,256.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $636.51 / $1,017.04	Professional		$411.83	$636.51	$1,017.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $817.83 / $817.83 / $1,054.61	Professional		$817.83	$817.83	$1,054.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,045.00 / $3,045.00 / $6,194.16	Facility		$3,045.00	$3,045.00	$6,194.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.29 / $938.85 / $1,992.25	Professional		$490.29	$938.85	$1,992.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,120.00 / $8,017.00	Facility		$918.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $682.82 / $2,605.00	Professional		$475.25	$682.82	$2,605.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $581.00 / $581.00	Professional		$581.00	$581.00	$581.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $431.20 / $641.79 / $1,017.62	Professional		$431.20	$641.79	$1,017.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $475.56 / $484.78 / $670.32	Facility		$475.56	$484.78	$670.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $472.98 / $648.21 / $718.12	Professional		$472.98	$648.21	$718.12
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.09 / $781.91 / $1,351.43	Professional		$558.09	$781.91	$1,351.43