Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.71 / $1,819.00 / $7,197.00	Facility		$173.71	$1,819.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $172.13 / $350.25	Professional		$104.92	$172.13	$350.25
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 $184.44 / $191.40 / $191.40	Professional		$184.44	$191.40	$191.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $174.00 / $297.94	Professional		$111.31	$174.00	$297.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $284.01 / $292.32	Professional		$220.90	$284.01	$292.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $780.50 / $1,147.10	Facility		$522.00	$780.50	$1,147.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.86 / $184.15 / $217.48	Professional		$168.86	$184.15	$217.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,978.00 / $7,799.00	Facility		$428.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $176.49 / $371.73	Professional		$108.73	$176.49	$371.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $166.20 / $258.93	Professional		$114.03	$166.20	$258.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $204.76 / $204.76	Facility		$204.76	$204.76	$204.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $181.91 / $332.89	Professional		$114.03	$181.91	$332.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $117.46 / $182.91	Facility		$115.69	$117.46	$182.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $163.81 / $195.96	Professional		$115.69	$163.81	$195.96
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 $158.03 / $193.40 / $342.73	Professional		$158.03	$193.40	$342.73