Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,505.00 / $7,629.00	Facility		$594.00	$2,505.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $98.02 / $185.53	Professional		$83.92	$98.02	$185.53
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 $94.23 / $153.38 / $220.27	Professional		$94.23	$153.38	$220.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $128.77 / $217.15	Professional		$95.19	$128.77	$217.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $148.66 / $150.58	Professional		$112.17	$148.66	$150.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,031.14 / $4,594.81 / $9,779.25	Facility		$2,031.14	$4,594.81	$9,779.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $108.80 / $407.00	Professional		$85.93	$108.80	$407.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $128.19 / $244.10	Professional		$4.00	$128.19	$244.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $130.03 / $230.38	Professional		$96.82	$130.03	$230.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $93.64 / $117.65	Facility		$93.64	$93.64	$117.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $93.64 / $117.65	Professional		$91.31	$93.64	$117.65
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $115.86 / $190.99	Professional		$89.97	$115.86	$190.99