Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,970.85 / $7,175.00	Facility		$480.00	$1,970.85	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.65 / $398.53 / $616.80	Professional		$353.65	$398.53	$616.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $437.73 / $725.51	Professional		$421.82	$437.73	$725.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $656.57 / $656.57	Facility		$656.57	$656.57	$656.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.57 / $468.75 / $777.78	Professional		$350.57	$468.75	$777.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $505.19 / $681.85 / $872.59	Professional		$505.19	$681.85	$872.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.92 / $1,571.92 / $1,571.92	Facility		$1,571.92	$1,571.92	$1,571.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,070.00 / $8,017.00	Facility		$641.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $355.75 / $434.98 / $1,926.85	Professional		$355.75	$434.98	$1,926.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $423.20 / $423.20 / $864.30	Professional		$423.20	$423.20	$864.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $656.57 / $656.57	Facility		$656.57	$656.57	$656.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $362.10 / $476.96 / $780.21	Professional		$362.10	$476.96	$780.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.79 / $376.22 / $406.89	Facility		$309.79	$376.22	$406.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $397.38 / $435.72	Professional		$366.85	$397.38	$435.72
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.41 / $485.53 / $815.63	Professional		$343.41	$485.53	$815.63