Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.57 / $2,381.00 / $7,175.00	Facility		$313.57	$2,381.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $303.17 / $564.39	Professional		$190.21	$303.17	$564.39
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 $334.57 / $347.19 / $624.16	Professional		$334.57	$347.19	$624.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,064.00 / $2,064.00 / $2,064.00	Facility		$2,064.00	$2,064.00	$2,064.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $310.77 / $527.46	Professional		$201.59	$310.77	$527.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $403.82 / $519.20 / $536.83	Professional		$403.82	$519.20	$536.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,408.60 / $3,084.51 / $7,911.66	Facility		$1,408.60	$3,084.51	$7,911.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,543.00 / $7,606.34	Facility		$540.00	$2,543.00	$7,606.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $319.93 / $959.69	Professional		$198.78	$319.93	$959.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $300.50 / $314.70	Professional		$300.50	$300.50	$314.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $372.62 / $2,064.00	Facility		$372.62	$372.62	$2,064.00
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	AS	$37.26	$37.26	$37.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.51 / $326.66 / $538.72	Professional		$208.51	$326.66	$538.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $218.88 / $334.93	Facility		$213.20	$218.88	$334.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $313.60 / $358.11	Professional		$213.20	$313.60	$358.11
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $383.17 / $652.33	Professional		$291.13	$383.17	$652.33