Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.76 / $3,623.00 / $7,799.00	Facility		$169.76	$3,623.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $160.88 / $227.37	Professional		$118.28	$160.88	$227.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $189.54 / $365.30	Professional		$182.65	$189.54	$365.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $185.97 / $313.76	Professional		$131.72	$185.97	$313.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.35 / $280.73 / $289.97	Professional		$218.35	$280.73	$289.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.86 / $440.86 / $645.00	Facility		$440.86	$440.86	$645.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $187.25 / $187.25	Professional		$187.25	$187.25	$187.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $3,839.00 / $8,017.00	Facility		$749.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $169.76 / $1,068.00	Professional		$120.98	$169.76	$1,068.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $172.31 / $266.74	Professional		$128.53	$172.31	$266.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $232.24 / $232.24	Facility		$232.24	$232.24	$232.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $189.54 / $348.24	Professional		$133.07	$189.54	$348.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $135.36 / $180.86	Facility		$133.12	$135.36	$180.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $159.71 / $192.15	Professional		$133.12	$159.71	$192.15
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 $160.16 / $205.95 / $355.79	Professional		$160.16	$205.95	$355.79