Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,745.00 / $8,017.00	Facility		$749.00	$3,745.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.48 / $567.75 / $835.69	Professional		$511.48	$567.75	$835.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $547.62 / $568.28 / $1,011.37	Professional		$547.62	$568.28	$1,011.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.60 / $577.99 / $925.48	Professional		$430.60	$577.99	$925.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.53 / $658.53 / $849.19	Professional		$658.53	$658.53	$849.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,021.88 / $5,021.88 / $5,063.39	Facility		$5,021.88	$5,021.88	$5,063.39
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $842.60 / $842.60 / $4,586.78	Facility	50	$842.60	$842.60	$4,586.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,964.00 / $8,017.00	Facility		$832.00	$3,964.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $527.47 / $635.46 / $2,960.21	Professional		$527.47	$635.46	$2,960.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $530.50 / $530.50 / $530.50	Professional		$530.50	$530.50	$530.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $549.00 / $549.00	Facility		$549.00	$549.00	$549.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $439.13 / $580.57 / $925.48	Professional		$439.13	$580.57	$925.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $476.91 / $535.95 / $535.95	Facility		$476.91	$535.95	$535.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $476.91 / $535.95 / $567.63	Professional		$476.91	$535.95	$567.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.22 / $609.24 / $1,037.19	Professional		$469.22	$609.24	$1,037.19