Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $96.46 / $3,340.00	Facility		$65.54	$96.46	$3,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $28.94 / $56.42	Professional		$13.27	$28.94	$56.42
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 $32.27 / $51.88 / $58.73	Professional		$32.27	$51.88	$58.73
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 $13.74 / $28.80 / $51.66	Professional		$13.74	$28.80	$51.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $49.64 / $51.07	Professional		$38.61	$49.64	$51.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $156.04 / $342.90	Facility		$74.53	$156.04	$342.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $1,357.00 / $7,175.00	Facility		$67.29	$1,357.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $30.36 / $96.91	Professional		$13.43	$30.36	$96.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $33.10 / $35.00	Professional		$33.10	$33.10	$35.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $328.00	Facility		$24.86	$24.86	$328.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $29.76 / $57.05	Professional		$14.33	$29.76	$57.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $19.89 / $31.67	Facility		$14.29	$19.89	$31.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $28.47 / $33.93	Professional		$14.29	$28.47	$33.93
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 $27.22 / $33.81 / $60.30	Professional		$27.22	$33.81	$60.30