Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.38 / $2,070.00 / $8,247.00	Facility		$211.38	$2,070.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $129.34 / $494.40	Professional		$114.40	$129.34	$494.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $100.62 / $103.64	Professional		$96.96	$100.62	$103.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $154.16 / $263.70	Professional		$118.92	$154.16	$263.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $429.47 / $528.64 / $741.82	Professional		$429.47	$528.64	$741.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.28 / $1,616.77 / $3,049.79	Facility		$798.28	$1,616.77	$3,049.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $133.57 / $699.10	Professional		$118.25	$133.57	$699.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,894.00 / $8,017.00	Facility		$480.00	$1,894.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $130.66 / $713.90	Professional		$111.83	$130.66	$713.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $555.00 / $653.00	Professional		$555.00	$555.00	$653.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $140.24 / $140.24	Facility		$140.24	$140.24	$140.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $156.83 / $264.06	Professional		$117.54	$156.83	$264.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.42 / $204.42 / $204.42	Facility		$204.42	$204.42	$204.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $204.42 / $204.42	Professional		$204.42	$204.42	$204.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,198.00 / $6,000.00	Facility		$1,447.00	$3,198.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $153.58 / $251.43	Professional		$111.66	$153.58	$251.43