Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.93 / $2,070.00 / $7,629.00	Facility		$413.93	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.77 / $378.40 / $526.33	Professional		$328.77	$378.40	$526.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $400.17 / $415.27 / $690.44	Professional		$400.17	$415.27	$690.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $623.15 / $623.15	Facility		$623.15	$623.15	$623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $444.09 / $740.77	Professional		$320.89	$444.09	$740.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $479.49 / $647.20 / $828.21	Professional		$479.49	$647.20	$828.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.80 / $382.80 / $382.80	Professional		$382.80	$382.80	$382.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $8,017.00	Facility		$617.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $400.94 / $1,830.26	Professional		$336.00	$400.94	$1,830.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $387.00 / $823.00	Professional		$387.00	$387.00	$823.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $623.15 / $623.15	Facility		$623.15	$623.15	$623.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $337.34 / $448.87 / $748.78	Professional		$337.34	$448.87	$748.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $329.98 / $357.32 / $386.72	Facility		$329.98	$357.32	$386.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $377.54 / $414.30	Professional		$348.27	$377.54	$414.30
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 $333.66 / $462.42 / $760.82	Professional		$333.66	$462.42	$760.82