Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.39 / $982.37 / $5,661.00	Facility		$719.39	$982.37	$5,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.07 / $841.84 / $961.94	Professional		$595.07	$841.84	$961.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,331.02 / $1,748.01 / $1,748.01	Professional		$1,331.02	$1,748.01	$1,748.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,748.01	Facility		$1,162.20	$1,162.20	$1,748.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,530.62	Professional		$848.41	$848.41	$1,530.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.17 / $1,748.01 / $3,321.22	Professional		$1,608.17	$1,748.01	$3,321.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,536.18 / $3,536.18 / $10,114.20	Facility		$3,536.18	$3,536.18	$10,114.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.80 / $1,354.71 / $1,398.41	Professional		$1,314.80	$1,354.71	$1,398.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $982.37 / $982.37 / $5,808.20	Facility		$982.37	$982.37	$5,808.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $530.74 / $826.53 / $1,302.08	Professional		$530.74	$826.53	$1,302.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $677.30 / $812.80 / $3,443.90	Professional		$677.30	$812.80	$3,443.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,748.01	Facility		$1,162.20	$1,162.20	$1,748.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $2,076.38	Professional		$848.41	$848.41	$2,076.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,249.75 / $1,663.78 / $1,663.78	Facility		$1,249.75	$1,663.78	$1,663.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,249.75 / $1,663.78 / $1,704.67	Professional		$1,249.75	$1,663.78	$1,704.67
United Facility/Professional Professional Modifier Low / Median / High Price $660.62 / $872.06 / $1,527.27	Professional		$660.62	$872.06	$1,527.27