Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.19 / $2,543.00 / $7,799.00	Facility		$197.19	$2,543.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $171.30 / $314.89	Professional		$111.61	$171.30	$314.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $197.01 / $197.01	Professional		$189.85	$197.01	$197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $191.69 / $329.40	Professional		$122.62	$191.69	$329.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.71 / $298.04 / $388.13	Professional		$224.71	$298.04	$388.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,086.90 / $4,094.53 / $4,111.77	Facility		$1,086.90	$4,094.53	$4,111.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,575.29 / $8,017.00	Facility		$918.00	$2,575.29	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $191.72 / $662.69	Professional		$119.54	$191.72	$662.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $185.20 / $383.50	Professional		$117.93	$185.20	$383.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $195.47 / $344.80	Professional		$126.31	$195.47	$344.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $122.75 / $126.60 / $190.13	Facility		$122.75	$126.60	$190.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.75 / $184.41 / $200.28	Professional		$122.75	$184.41	$200.28
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,897.02 / $3,742.00	Facility		$471.00	$1,897.02	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $240.14 / $336.05	Professional		$173.29	$240.14	$336.05