Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.86 / $1,486.00 / $6,432.00	Facility		$140.86	$1,486.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $239.38 / $316.45	Professional		$162.05	$239.38	$316.45
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 $281.02 / $291.63 / $493.34	Professional		$281.02	$291.63	$493.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $266.97 / $470.19	Professional		$175.05	$266.97	$470.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.68 / $456.68 / $584.99	Professional		$338.68	$456.68	$584.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,490.32 / $1,490.32 / $1,490.32	Facility		$1,490.32	$1,490.32	$1,490.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.91 / $2,463.00 / $8,017.00	Facility		$280.91	$2,463.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $261.75 / $1,056.00	Professional		$170.67	$261.75	$1,056.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $225.70 / $225.70 / $591.70	Professional		$225.70	$225.70	$591.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.77 / $274.01 / $486.35	Professional		$177.77	$274.01	$486.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $156.50 / $171.78 / $265.37	Facility		$156.50	$171.78	$265.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $200.14 / $285.43	Professional		$166.67	$200.14	$285.43
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 $221.74 / $312.83 / $523.94	Professional		$221.74	$312.83	$523.94