Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,938.00 / $7,629.00	Facility		$540.00	$2,938.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $184.74 / $311.99	Professional		$140.69	$184.74	$311.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $230.71 / $239.42 / $360.12	Professional		$230.71	$239.42	$360.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $221.83 / $387.97	Professional		$160.46	$221.83	$387.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $370.45 / $476.65	Professional		$275.95	$370.45	$476.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.69 / $190.69 / $196.70	Professional		$190.69	$190.69	$196.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,839.00 / $8,017.00	Facility		$954.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $212.06 / $691.35	Professional		$141.46	$212.06	$691.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $269.50 / $458.20	Professional		$242.10	$269.50	$458.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $226.23 / $396.41	Professional		$161.65	$226.23	$396.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $159.78 / $200.81 / $265.58	Facility		$159.78	$200.81	$265.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $215.21 / $235.36	Professional		$159.78	$215.21	$235.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.35 / $262.70 / $416.69	Professional		$191.35	$262.70	$416.69