Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.56 / $395.08 / $2,747.00	Facility		$108.56	$395.08	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $109.12 / $326.23	Professional		$77.45	$109.12	$326.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $149.93 / $259.06	Professional		$102.61	$149.93	$259.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $134.08 / $134.08	Facility		$134.08	$134.08	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $120.70 / $202.65	Professional		$81.01	$120.70	$202.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $159.60 / $208.94	Professional		$120.97	$159.60	$208.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.41 / $559.46 / $1,150.22	Facility		$324.41	$559.46	$1,150.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $116.14 / $119.78	Professional		$116.14	$116.14	$119.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $453.09 / $5,868.00	Facility		$97.32	$453.09	$5,868.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $117.34 / $260.49	Professional		$79.02	$117.34	$260.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $188.80 / $274.10	Professional		$188.80	$188.80	$274.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $134.08 / $134.08	Facility		$134.08	$134.08	$134.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $122.53 / $206.66	Professional		$82.07	$122.53	$206.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $101.71 / $163.46	Facility		$78.31	$101.71	$163.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $99.80 / $112.55	Professional		$78.09	$99.80	$112.55
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $127.81 / $201.43	Professional		$99.27	$127.81	$201.43