Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.93 / $2,747.00 / $8,427.00	Facility		$230.93	$2,747.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $202.83 / $378.01	Professional		$93.30	$202.83	$378.01
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 $185.44 / $218.17 / $218.17	Professional		$185.44	$218.17	$218.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $161.41	Facility		$161.41	$161.41	$161.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $211.75 / $396.83	Professional		$105.08	$211.75	$396.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.34 / $338.85 / $437.59	Professional		$253.34	$338.85	$437.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $6,749.90 / $12,153.34	Facility		$2,412.00	$6,749.90	$12,153.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $3,389.00 / $8,754.00	Facility		$574.00	$3,389.00	$8,754.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $215.99 / $668.37	Professional		$96.88	$215.99	$668.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $282.39 / $568.90	Professional		$269.70	$282.39	$568.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $161.41	Facility		$161.41	$161.41	$161.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $218.41 / $418.28	Professional		$105.08	$218.41	$418.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $165.80 / $272.44	Facility		$92.87	$165.80	$272.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $207.39 / $227.40	Professional		$92.87	$207.39	$227.40
United Facility/Professional Facility Modifier Low / Median / High Price $859.00 / $2,113.00 / $4,300.00	Facility		$859.00	$2,113.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $292.18 / $466.28	Professional		$223.53	$292.18	$466.28