Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $2,070.00 / $7,197.00	Facility		$264.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $107.78 / $171.05	Professional		$80.54	$107.78	$171.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $128.33 / $197.15	Professional		$123.66	$128.33	$197.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $152.74 / $152.74	Facility		$152.74	$152.74	$152.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $129.04 / $212.08	Professional		$91.88	$129.04	$212.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $196.60 / $254.51	Professional		$147.35	$196.60	$254.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.89 / $6,480.89 / $6,480.89	Facility		$6,480.89	$6,480.89	$6,480.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $122.53 / $127.42	Professional		$122.53	$122.53	$127.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $8,017.00	Facility		$594.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $117.96 / $460.45	Professional		$81.99	$117.96	$460.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $241.70 / $258.30	Professional		$192.60	$241.70	$258.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $152.74 / $152.74	Facility		$152.74	$152.74	$152.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $132.40 / $217.07	Professional		$89.96	$132.40	$217.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $120.36 / $275.56	Facility		$86.85	$120.36	$275.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $117.93 / $217.04	Professional		$86.85	$117.93	$217.04
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $141.62 / $243.57	Professional		$107.59	$141.62	$243.57