Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,992.21 / $8,017.00	Facility		$350.00	$1,992.21	$8,017.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.53 / $49.53 / $211.97	Facility	52	$49.53	$49.53	$211.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $355.90 / $462.63	Professional		$96.79	$355.90	$462.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $617.82 / $844.16	Professional		$356.55	$617.82	$844.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $400.40 / $876.09	Professional		$121.15	$400.40	$876.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $492.51 / $652.54 / $676.43	Professional		$492.51	$652.54	$676.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.77 / $1,486.15 / $2,486.96	Facility		$422.77	$1,486.15	$2,486.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,978.00 / $7,799.00	Facility		$428.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $49.53 / $49.53 / $211.97	Facility	52	$49.53	$49.53	$211.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $355.90 / $907.23	Professional		$99.05	$355.90	$907.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $526.29 / $1,236.40	Professional		$7.00	$526.29	$1,236.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $438.54 / $876.09	Professional		$121.89	$438.54	$876.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $127.92 / $497.86	Facility		$106.74	$127.92	$497.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $411.80 / $453.60	Professional		$106.74	$411.80	$453.60
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 $410.18 / $562.12 / $988.10	Professional		$410.18	$562.12	$988.10