Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.68 / $988.00 / $5,526.00	Facility		$143.68	$988.00	$5,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $124.45 / $296.82	Professional		$91.52	$124.45	$296.82
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 $136.97 / $190.69 / $245.01	Professional		$136.97	$190.69	$245.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $168.47	Facility		$168.47	$168.47	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $143.19 / $245.25	Professional		$99.87	$143.19	$245.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $220.86 / $283.02	Professional		$163.86	$220.86	$283.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.56 / $465.53 / $490.08	Facility		$148.56	$465.53	$490.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $151.78 / $163.35	Professional		$137.97	$151.78	$163.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $1,426.00 / $7,175.00	Facility		$139.57	$1,426.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $137.59 / $345.97	Professional		$92.73	$137.59	$345.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $142.83 / $285.30	Professional		$123.87	$142.83	$285.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $168.47	Facility		$168.47	$168.47	$168.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $145.07 / $246.85	Professional		$101.65	$145.07	$246.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $92.44 / $96.83 / $131.93	Facility		$92.44	$96.83	$131.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $109.41 / $141.19	Professional		$93.82	$109.41	$141.19
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 $116.23 / $160.32 / $267.39	Professional		$116.23	$160.32	$267.39