Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $2,381.00 / $7,629.00	Facility		$100.32	$2,381.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $149.72 / $308.18	Professional		$57.78	$149.72	$308.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,354.00 / $8,639.91	Facility		$2,404.00	$4,354.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $155.19 / $291.63	Professional		$149.56	$155.19	$291.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Facility		$101.84	$101.84	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $186.62 / $360.98	Professional		$67.84	$186.62	$360.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $242.64 / $312.77	Professional		$181.08	$242.64	$312.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,176.04 / $3,867.26 / $9,061.85	Facility		$2,176.04	$3,867.26	$9,061.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,543.00 / $8,017.00	Facility		$379.00	$2,543.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $163.92 / $795.16	Professional		$60.56	$163.92	$795.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $206.80 / $546.79	Professional		$206.80	$206.80	$546.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Facility		$101.84	$101.84	$101.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $188.83 / $373.30	Professional		$67.84	$188.83	$373.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $146.19 / $283.80	Facility		$58.93	$146.19	$283.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $143.86 / $165.56	Professional		$58.93	$143.86	$165.56
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 $200.59 / $294.98 / $532.58	Professional		$200.59	$294.98	$532.58