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 / $8,113.00	Facility		$540.00	$2,747.00	$8,113.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.76 / $107.27 / $375.59	Facility	52	$105.76	$107.27	$375.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $538.65 / $789.05	Professional		$181.21	$538.65	$789.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $96.54 / $292.57 / $396.57	Professional	52	$96.54	$292.57	$396.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $571.01 / $571.01	Professional		$274.01	$571.01	$571.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.07 / $412.64 / $1,047.69	Professional		$197.07	$412.64	$1,047.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $886.90 / $886.90 / $915.20	Professional		$886.90	$886.90	$915.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,035.67 / $10,287.52 / $14,540.34	Facility		$4,035.67	$10,287.52	$14,540.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $751.17 / $4,534.00 / $8,240.00	Facility		$751.17	$4,534.00	$8,240.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $105.76 / $105.76 / $375.59	Facility	52	$105.76	$105.76	$375.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $585.13 / $1,667.59	Professional		$181.21	$585.13	$1,667.59
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $96.54 / $276.52 / $479.45	Professional	52	$96.54	$276.52	$479.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,083.59 / $1,666.50	Professional		$4.00	$1,083.59	$1,666.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $439.37 / $1,047.69	Professional		$197.28	$439.37	$1,047.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.02 / $538.03 / $828.53	Facility		$175.02	$538.03	$828.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.02 / $538.03 / $618.50	Professional		$175.02	$538.03	$618.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,000.00	Facility		$1,440.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $766.80 / $1,223.58	Professional		$580.66	$766.80	$1,223.58