Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.56 / $2,747.00 / $8,017.00	Facility		$371.56	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $255.31 / $405.93	Professional		$159.99	$255.31	$405.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $326.52 / $553.35	Professional		$314.64	$326.52	$553.35
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $471.98 / $489.79 / $830.02	Professional	50	$471.98	$489.79	$830.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $284.63 / $443.98	Professional		$158.68	$284.63	$443.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $501.68	Professional		$389.05	$389.05	$501.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $3,215.85 / $10,356.37	Facility		$0.50	$3,215.85	$10,356.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $401.87 / $518.34	Professional		$146.94	$401.87	$518.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $3,120.00 / $8,017.00	Facility		$918.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $171.60 / $286.92 / $1,121.89	Professional		$171.60	$286.92	$1,121.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.10 / $336.10 / $336.10	Professional		$336.10	$336.10	$336.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $285.98 / $434.99	Professional		$163.96	$285.98	$434.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $175.40 / $383.39	Facility		$150.97	$175.40	$383.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $315.35 / $383.39	Professional		$171.83	$315.35	$383.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.87 / $366.88 / $615.29	Professional		$275.87	$366.88	$615.29