Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $1,027.00 / $4,888.00	Facility		$162.40	$1,027.00	$4,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $169.29 / $315.29	Professional		$102.58	$169.29	$315.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $186.63 / $186.63	Professional		$158.63	$186.63	$186.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $178.14 / $289.81	Professional		$107.93	$178.14	$289.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.41 / $278.24 / $286.60	Professional		$216.41	$278.24	$286.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.67 / $1,702.25 / $2,955.68	Facility		$340.67	$1,702.25	$2,955.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $1,519.00 / $5,750.00	Facility		$177.75	$1,519.00	$5,750.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $183.61 / $508.04	Professional		$108.94	$183.61	$508.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $144.30 / $296.12	Professional		$144.30	$144.30	$296.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $184.57 / $184.57 / $184.57	Facility		$184.57	$184.57	$184.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $178.14 / $296.64	Professional		$110.93	$178.14	$296.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $133.44 / $206.60	Facility		$107.55	$133.44	$206.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $177.84 / $194.32	Professional		$107.51	$177.84	$194.32
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.83 / $210.72 / $377.92	Professional		$162.83	$210.72	$377.92