Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.78 / $2,505.00 / $7,629.00	Facility		$654.78	$2,505.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $597.70 / $969.48	Professional		$453.61	$597.70	$969.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $586.14 / $608.26 / $1,040.58	Professional		$586.14	$608.26	$1,040.58
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 $467.75 / $608.25 / $1,042.27	Professional		$467.75	$608.25	$1,042.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $709.52 / $709.52 / $914.94	Professional		$709.52	$709.52	$914.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,143.86 / $3,143.86 / $6,194.16	Facility		$3,143.86	$3,143.86	$6,194.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $728.46 / $728.46	Professional		$728.46	$728.46	$728.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $654.78 / $2,483.00 / $8,017.00	Facility		$654.78	$2,483.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $610.12 / $1,594.85	Professional		$453.61	$610.12	$1,594.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.80 / $660.80 / $660.80	Professional		$660.80	$660.80	$660.80
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 $482.11 / $619.46 / $1,042.27	Professional		$482.11	$619.46	$1,042.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $553.23 / $580.70 / $580.70	Facility		$553.23	$580.70	$580.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $553.23 / $580.70 / $617.95	Professional		$553.23	$580.70	$617.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,949.00 / $6,000.00	Facility		$1,122.00	$2,949.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $641.40 / $1,114.31	Professional		$501.19	$641.40	$1,114.31