Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.58 / $3,627.00 / $7,799.00	Facility		$428.58	$3,627.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $329.29 / $496.05	Professional		$215.05	$329.29	$496.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $395.75 / $395.75	Professional		$381.36	$395.75	$395.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,978.20 / $3,928.61	Facility		$491.00	$1,978.20	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.82 / $365.35 / $619.75	Professional		$229.82	$365.35	$619.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $527.80 / $527.80 / $527.80	Facility		$527.80	$527.80	$527.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $614.77 / $785.49	Professional		$459.46	$614.77	$785.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,179.24 / $7,179.24 / $10,937.17	Facility		$7,179.24	$7,179.24	$10,937.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $380.50 / $1,272.88	Professional		$224.12	$380.50	$1,272.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $283.39 / $283.39 / $283.39	Facility		$283.39	$283.39	$283.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $351.80 / $1,070.40	Professional		$5.00	$351.80	$1,070.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $1,657.00 / $3,738.29	Facility		$393.87	$1,657.00	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $365.21 / $619.75	Professional		$231.36	$365.21	$619.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $226.17 / $226.91 / $385.62	Facility		$226.17	$226.91	$385.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $226.17 / $247.70 / $415.98	Professional		$226.17	$247.70	$415.98
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $395.75 / $690.29	Professional		$282.13	$395.75	$690.29