Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.75 / $1,638.00 / $6,012.00	Facility		$166.75	$1,638.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $149.44 / $298.82	Professional		$104.59	$149.44	$298.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $252.50 / $298.76	Professional		$175.21	$252.50	$298.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $184.35 / $309.77	Professional		$125.55	$184.35	$309.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $283.92 / $362.31	Professional		$209.76	$283.92	$362.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.50 / $1,811.83 / $3,104.09	Facility		$341.50	$1,811.83	$3,104.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $308.79 / $402.16	Professional		$187.12	$308.79	$402.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.52 / $1,901.00 / $7,197.00	Facility		$338.52	$1,901.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $170.37 / $481.24	Professional		$107.48	$170.37	$481.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.50 / $174.50 / $467.00	Professional		$174.50	$174.50	$467.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $187.86 / $319.55	Professional		$125.55	$187.86	$319.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $128.62 / $171.08	Facility		$112.83	$128.62	$171.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $166.22 / $182.70	Professional		$112.83	$166.22	$182.70
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $215.67 / $324.89	Professional		$169.81	$215.67	$324.89