Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.15 / $657.00 / $3,200.00	Facility		$119.15	$657.00	$3,200.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.05 / $55.96 / $370.20	Facility	52	$43.05	$55.96	$370.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $126.55 / $295.00	Professional		$82.82	$126.55	$295.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $673.00 / $1,359.00 / $5,044.89	Facility		$673.00	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $241.98 / $241.98	Professional		$127.39	$241.98	$241.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $129.68 / $222.77	Professional		$92.82	$129.68	$222.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $153.22 / $203.09	Professional		$4.80	$153.22	$203.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.40 / $836.24 / $1,574.98	Facility		$440.40	$836.24	$1,574.98
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $246.01 / $246.01 / $418.13	Facility	52	$246.01	$246.01	$418.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $1,000.87 / $4,123.00	Facility		$141.54	$1,000.87	$4,123.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $43.05 / $59.58 / $602.00	Facility	52	$43.05	$59.58	$602.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $147.35 / $447.55	Professional		$86.67	$147.35	$447.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $111.80 / $117.90	Professional		$111.80	$111.80	$117.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $162.44	Facility		$162.44	$162.44	$162.44
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $129.94 / $129.94 / $129.94	Facility	52	$129.94	$129.94	$129.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $132.30 / $238.82	Professional		$94.86	$132.30	$238.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $93.74 / $125.99	Facility		$89.42	$93.74	$125.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $113.59 / $135.02	Professional		$91.45	$113.59	$135.02
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $136.51 / $250.41	Professional		$101.23	$136.51	$250.41