Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.37 / $2,463.00 / $8,017.00	Facility		$254.37	$2,463.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.33 / $336.84 / $494.83	Professional		$243.33	$336.84	$494.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $4,354.00 / $8,459.92	Facility		$1,350.00	$4,354.00	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $382.37 / $396.80 / $396.80	Professional		$382.37	$396.80	$396.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $376.50 / $648.04	Professional		$256.52	$376.50	$648.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $589.55 / $608.34	Professional		$458.55	$589.55	$608.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,070.35 / $1,944.79 / $11,812.04	Facility		$1,070.35	$1,944.79	$11,812.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.79 / $357.79 / $386.34	Professional		$357.79	$357.79	$386.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $2,679.00 / $8,017.00	Facility		$574.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.09 / $357.31 / $1,061.21	Professional		$246.09	$357.31	$1,061.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $264.18 / $389.70 / $551.66	Professional		$264.18	$389.70	$551.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $475.24 / $475.24	Facility		$475.24	$475.24	$475.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $258.35 / $383.64 / $686.73	Professional		$258.35	$383.64	$686.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $273.62 / $279.49 / $377.32	Facility		$273.62	$279.49	$377.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $273.62 / $343.92 / $402.64	Professional		$273.62	$343.92	$402.64
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,391.00 / $6,000.00	Facility		$637.00	$2,391.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.84 / $422.23 / $727.41	Professional		$331.84	$422.23	$727.41