Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.37 / $641.00 / $5,958.00	Facility		$182.37	$641.00	$5,958.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $60.07 / $154.93	Professional		$25.46	$60.07	$154.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $118.16 / $141.66	Professional		$86.17	$118.16	$141.66
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 $27.81 / $66.43 / $131.84	Professional		$27.81	$66.43	$131.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $103.78 / $137.19	Professional		$28.80	$103.78	$137.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.87 / $562.87 / $1,032.40	Facility		$562.87	$562.87	$1,032.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $1,978.00 / $7,799.00	Facility		$264.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $69.09 / $200.13	Professional		$27.35	$69.09	$200.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $42.00 / $124.55	Professional		$26.72	$42.00	$124.55
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $328.00	Facility		$48.69	$48.69	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $66.48 / $133.10	Professional		$28.06	$66.48	$133.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $42.07 / $86.49	Facility		$28.00	$42.07	$86.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $53.15 / $93.26	Professional		$28.00	$53.15	$93.26
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 $62.42 / $85.77 / $149.12	Professional		$62.42	$85.77	$149.12