Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,544.00 / $7,175.00	Facility		$95.50	$1,544.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $81.97 / $150.22	Professional		$42.10	$81.97	$150.22
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 $89.65 / $132.28 / $247.97	Professional		$89.65	$132.28	$247.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $93.04 / $193.03	Professional		$49.75	$93.04	$193.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $142.32 / $184.60	Professional		$115.02	$142.32	$184.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.98 / $1,011.44 / $1,332.12	Facility		$396.98	$1,011.44	$1,332.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,463.00 / $8,017.00	Facility		$540.00	$2,463.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $95.50 / $244.27	Professional		$42.29	$95.50	$244.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $195.90 / $284.70	Professional		$149.50	$195.90	$284.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $93.48 / $200.25	Professional		$49.68	$93.48	$200.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $44.95 / $113.57	Facility		$42.76	$44.95	$113.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $87.92 / $95.90	Professional		$43.54	$87.92	$95.90
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 $93.04 / $150.13 / $213.03	Professional		$93.04	$150.13	$213.03