Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $907.20 / $1,338.32	Facility		$259.20	$907.20	$1,338.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $259.20 / $2,057.60	Professional		$236.80	$259.20	$2,057.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,105.25 / $1,472.80 / $8,459.92	Facility		$1,105.25	$1,472.80	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $249.60 / $249.60	Professional		$249.60	$249.60	$249.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.68 / $472.59 / $1,061.60	Facility		$303.68	$472.59	$1,061.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $341.65 / $723.55	Professional		$150.74	$341.65	$723.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $432.00 / $608.00	Professional		$190.40	$432.00	$608.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.95 / $1,655.95 / $1,655.95	Facility		$1,655.95	$1,655.95	$1,655.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $907.20 / $1,338.32	Facility		$272.00	$907.20	$1,338.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $368.00 / $1,321.60	Professional		$236.80	$368.00	$1,321.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $480.00 / $640.00	Professional		$473.60	$480.00	$640.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $311.38 / $532.38 / $1,061.60	Facility		$311.38	$532.38	$1,061.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $207.92 / $342.46 / $723.55	Professional		$207.92	$342.46	$723.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $320.00 / $352.00	Facility		$320.00	$320.00	$352.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $352.00	Professional		$320.00	$320.00	$352.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $427.26	Professional		$134.40	$192.00	$427.26