Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.22 / $2,679.00 / $8,104.00	Facility		$586.22	$2,679.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $549.82 / $797.65	Professional		$148.01	$549.82	$797.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $361.43 / $562.92 / $1,077.58	Professional		$361.43	$562.92	$1,077.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $235.63	Facility		$235.63	$235.63	$235.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $317.47 / $1,037.06	Professional		$148.86	$317.47	$1,037.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.84 / $859.21 / $1,122.74	Professional		$660.84	$859.21	$1,122.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.05 / $3,523.93 / $3,753.02	Facility		$1,660.05	$3,523.93	$3,753.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.06 / $183.06 / $184.55	Professional		$183.06	$183.06	$184.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $3,077.00 / $8,427.00	Facility		$652.00	$3,077.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $148.01 / $577.78 / $1,144.56	Professional		$148.01	$577.78	$1,144.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $208.70 / $1,416.40	Professional		$208.70	$208.70	$1,416.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.58 / $235.63 / $235.63	Facility		$161.58	$235.63	$235.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $317.47 / $954.57	Professional		$149.26	$317.47	$954.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $218.22 / $569.16	Facility		$133.80	$218.22	$569.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $218.22 / $618.57	Professional		$133.80	$218.22	$618.57
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $3,742.00	Facility		$144.00	$674.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $711.22 / $1,233.09	Professional		$490.10	$711.22	$1,233.09