Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $1,499.00 / $6,012.00	Facility		$253.45	$1,499.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $76.81 / $142.31	Professional		$54.80	$76.81	$142.31
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 $87.04 / $125.09 / $152.13	Professional		$87.04	$125.09	$152.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $111.58	Facility		$111.58	$111.58	$111.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $92.72 / $157.77	Professional		$67.88	$92.72	$157.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.59 / $139.49 / $178.92	Professional		$103.59	$139.49	$178.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.13 / $1,323.13 / $1,323.13	Facility		$1,323.13	$1,323.13	$1,323.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $89.71 / $103.43	Professional		$83.08	$89.71	$103.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $567.25 / $2,070.00 / $8,017.00	Facility		$567.25	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $87.33 / $196.04	Professional		$58.69	$87.33	$196.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $136.40 / $225.60	Professional		$27.40	$136.40	$225.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $111.58	Facility		$111.58	$111.58	$111.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $94.43 / $158.83	Professional		$67.88	$94.43	$158.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $64.06 / $85.25	Facility		$54.33	$64.06	$85.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $68.20 / $90.96	Professional		$61.96	$68.20	$90.96
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $101.52 / $158.79	Professional		$78.93	$101.52	$158.79