Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $1,748.25 / $2,500.00	Facility		$996.49	$1,748.25	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,748.25 / $1,748.25	Professional		$1,645.41	$1,748.25	$1,748.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $651.53 / $766.51 / $8,459.92	Facility		$651.53	$766.51	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $806.85 / $806.85 / $806.85	Professional		$806.85	$806.85	$806.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,056.76	Professional		$1,748.25	$1,748.25	$2,056.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.41 / $2,467.67 / $3,708.26	Facility		$470.41	$2,467.67	$3,708.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $2,131.89 / $5,900.47	Facility		$996.49	$2,131.89	$5,900.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,748.25 / $2,220.28	Professional		$1,645.41	$1,748.25	$2,220.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $566.46 / $903.01 / $1,653.37	Professional		$566.46	$903.01	$1,653.37
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,742.79 / $1,742.79 / $1,917.07	Facility		$1,742.79	$1,742.79	$1,917.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,742.79 / $1,742.79 / $1,917.07	Professional		$1,742.79	$1,742.79	$1,917.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,236.73	Professional		$1,713.97	$1,713.97	$2,236.73