Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.10 / $800.00 / $5,868.00	Facility		$120.10	$800.00	$5,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $124.83 / $248.07	Professional		$65.63	$124.83	$248.07
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 $139.31 / $144.56 / $144.56	Professional		$139.31	$144.56	$144.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $141.34 / $275.00	Professional		$73.77	$141.34	$275.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $216.41 / $223.95	Professional		$168.32	$216.41	$223.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.80 / $625.20 / $916.86	Facility		$202.80	$625.20	$916.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $1,519.00 / $7,175.00	Facility		$198.44	$1,519.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $127.02 / $410.10	Professional		$67.84	$127.02	$410.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $227.20 / $239.60	Professional		$75.34	$227.20	$239.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Facility		$128.01	$128.01	$128.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $142.65 / $290.63	Professional		$75.06	$142.65	$290.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $135.03 / $191.09	Facility		$73.48	$135.03	$191.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $135.75 / $148.75	Professional		$73.48	$135.75	$148.75
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 $125.17 / $170.29 / $272.93	Professional		$125.17	$170.29	$272.93