Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,901.00 / $7,175.00	Facility		$428.00	$1,901.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $114.73 / $220.55	Professional		$92.97	$114.73	$220.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.45 / $43.45 / $43.45	Professional	52	$43.45	$43.45	$43.45
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 $129.69 / $175.98 / $220.70	Professional		$129.69	$175.98	$220.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $139.79 / $230.63	Professional		$106.28	$139.79	$230.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $216.27 / $272.00	Professional		$157.47	$216.27	$272.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.72 / $673.76 / $1,754.48	Facility		$657.72	$673.76	$1,754.48
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $2,799.51 / $2,799.51 / $2,799.51	Facility	52	$2,799.51	$2,799.51	$2,799.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,070.00 / $7,799.00	Facility		$536.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $127.97 / $395.60	Professional		$90.42	$127.97	$395.60
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $43.45 / $43.45 / $43.45	Professional	52	$43.45	$43.45	$43.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $238.50 / $339.50	Professional		$207.40	$238.50	$339.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $140.96 / $234.20	Professional		$106.28	$140.96	$234.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $90.15 / $107.27 / $124.98	Facility		$90.15	$107.27	$124.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $115.27 / $134.76	Professional		$99.30	$115.27	$134.76
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 $118.25 / $149.96 / $240.12	Professional		$118.25	$149.96	$240.12