Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.51 / $280.17 / $3,964.00	Facility		$67.51	$280.17	$3,964.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $45.89 / $128.85	Professional		$14.31	$45.89	$128.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $5,044.89	Facility		$950.40	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $85.04 / $112.58	Professional		$67.62	$85.04	$112.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $328.00 / $328.00	Facility		$328.00	$328.00	$328.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $47.39 / $86.93	Professional		$15.04	$47.39	$86.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $82.47 / $109.23	Professional		$19.20	$82.47	$109.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $313.94 / $802.98	Facility		$171.51	$313.94	$802.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.51 / $953.00 / $5,958.00	Facility		$67.51	$953.00	$5,958.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $49.07 / $205.00	Professional		$15.43	$49.07	$205.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $27.70 / $98.43	Professional		$14.62	$27.70	$98.43
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $328.00	Facility		$26.64	$26.64	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $45.79 / $92.22	Professional		$15.35	$45.79	$92.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $23.01 / $68.73	Facility		$15.62	$23.01	$68.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $34.44 / $74.63	Professional		$15.62	$34.44	$74.63
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 $42.64 / $64.06 / $116.74	Professional		$42.64	$64.06	$116.74