Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.56 / $2,340.00 / $7,799.00	Facility		$236.56	$2,340.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $192.52 / $375.13	Professional		$120.87	$192.52	$375.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $569.05 / $569.05 / $1,587.00	Professional	50	$569.05	$569.05	$1,587.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $183.46 / $263.57 / $398.57	Professional		$183.46	$263.57	$398.57
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $275.20 / $429.95 / $597.86	Professional	50	$275.20	$429.95	$597.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $227.52 / $394.14	Professional		$140.63	$227.52	$394.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $335.90 / $344.74	Professional		$253.17	$335.90	$344.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.20 / $1,343.41 / $5,063.39	Facility		$1,187.20	$1,343.41	$5,063.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,605.00 / $8,017.00	Facility		$652.00	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $220.41 / $702.58	Professional		$127.85	$220.41	$702.58
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $569.05 / $569.05 / $1,587.00	Professional	50	$569.05	$569.05	$1,587.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $156.60 / $586.00	Professional		$5.00	$156.60	$586.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $235.46 / $398.00	Professional		$146.02	$235.46	$398.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $138.30 / $213.02	Facility		$133.05	$138.30	$213.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $132.37 / $206.75 / $226.79	Professional		$132.37	$206.75	$226.79
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.98 / $258.80 / $410.83	Professional		$175.98	$258.80	$410.83