Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,240.00 / $7,629.00	Facility		$540.00	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.80 / $593.35 / $984.17	Professional		$480.80	$593.35	$984.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $680.00 / $2,594.00 / $5,296.01	Facility		$680.00	$2,594.00	$5,296.01
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $515.21 / $534.66 / $957.26	Professional		$515.21	$534.66	$957.26
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 $403.74 / $650.41 / $1,273.96	Professional		$403.74	$650.41	$1,273.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $623.20 / $803.63	Professional		$623.20	$623.20	$803.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,458.98 / $2,458.98 / $2,458.98	Facility		$2,458.98	$2,458.98	$2,458.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.94 / $639.02 / $689.90	Professional		$596.94	$639.02	$689.90
Martin's Point 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
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $480.80 / $667.48 / $1,701.57	Professional		$480.80	$667.48	$1,701.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.70 / $1,105.70 / $1,105.70	Professional		$1,105.70	$1,105.70	$1,105.70
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 $413.15 / $617.12 / $1,206.39	Professional		$413.15	$617.12	$1,206.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $508.79 / $942.30	Facility		$477.18	$508.79	$942.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $474.23 / $506.32 / $942.30	Professional		$474.23	$506.32	$942.30
United Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,322.78 / $3,742.00	Facility		$582.00	$1,322.78	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.15 / $677.43 / $1,131.73	Professional		$501.15	$677.43	$1,131.73