Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,070.00 / $7,629.00	Facility		$428.00	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $155.68 / $210.83	Professional		$122.94	$155.68	$210.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $177.58 / $205.63	Professional		$171.13	$177.58	$205.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $185.25 / $316.04	Professional		$132.94	$185.25	$316.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $269.83 / $350.38	Professional		$202.85	$269.83	$350.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.51 / $150.51 / $174.07	Professional		$150.51	$150.51	$174.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,326.00 / $8,017.00	Facility		$641.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $178.82 / $800.00	Professional		$128.43	$178.82	$800.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $192.50 / $360.50	Professional		$175.04	$192.50	$360.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $188.96 / $318.57	Professional		$134.22	$188.96	$318.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $131.34 / $163.61 / $171.49	Facility		$131.34	$163.61	$171.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.60 / $163.61 / $183.00	Professional		$130.60	$163.61	$183.00
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $218.85 / $350.42	Professional		$160.44	$218.85	$350.42