Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,747.00 / $8,017.00	Facility		$540.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $347.92 / $501.16	Professional		$236.29	$347.92	$501.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $393.14 / $815.07	Professional		$378.84	$393.14	$815.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.47 / $403.13 / $721.44	Professional		$267.47	$403.13	$721.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $594.99 / $776.51	Professional		$449.56	$594.99	$776.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.93 / $258.93 / $258.93	Professional		$258.93	$258.93	$258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,077.00 / $8,017.00	Facility		$934.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.25 / $391.84 / $1,539.00	Professional		$246.25	$391.84	$1,539.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $494.30 / $494.30 / $962.70	Professional		$494.30	$494.30	$962.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $272.24 / $410.63 / $755.96	Professional		$272.24	$410.63	$755.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $248.60 / $359.52 / $437.45	Facility		$248.60	$359.52	$437.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $367.57 / $399.36	Professional		$247.90	$367.57	$399.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $510.53 / $852.67	Professional		$385.99	$510.53	$852.67