Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.36 / $2,747.00 / $8,636.85	Facility		$204.36	$2,747.00	$8,636.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $197.83 / $312.12	Professional		$127.16	$197.83	$312.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $226.32 / $371.10	Professional		$218.10	$226.32	$371.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $243.10	Facility		$243.10	$243.10	$243.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $217.99 / $378.24	Professional		$139.47	$217.99	$378.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $328.38 / $453.42	Professional		$12.00	$328.38	$453.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,097.28 / $4,097.28 / $4,097.28	Facility		$4,097.28	$4,097.28	$4,097.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $143.66 / $158.03	Professional		$143.66	$143.66	$158.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $3,964.00 / $8,427.00	Facility		$264.00	$3,964.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $208.33 / $406.39	Professional		$131.35	$208.33	$406.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.10 / $285.39 / $465.60	Professional		$261.10	$285.39	$465.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $243.10	Facility		$243.10	$243.10	$243.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $224.79 / $387.71	Professional		$142.76	$224.79	$387.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $181.81 / $270.13	Facility		$136.30	$181.81	$270.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $205.61 / $225.53	Professional		$136.30	$205.61	$225.53
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $256.83 / $400.81	Professional		$185.51	$256.83	$400.81