Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $1,978.00 / $7,197.00	Facility		$186.70	$1,978.00	$7,197.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.66 / $60.66 / $93.35	Facility	52	$60.66	$60.66	$93.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $166.82 / $292.80	Professional		$111.22	$166.82	$292.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $173.64 / $344.93	Professional		$167.32	$173.64	$344.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $186.97 / $331.15	Professional		$124.98	$186.97	$331.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.61 / $265.99 / $270.48	Professional		$200.61	$265.99	$270.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.93 / $2,282.61 / $2,939.94	Facility		$263.93	$2,282.61	$2,939.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $7,799.00	Facility		$594.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $60.66 / $60.66 / $93.35	Facility	52	$60.66	$60.66	$93.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $188.23 / $475.71	Professional		$116.31	$188.23	$475.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $255.90 / $455.60	Professional		$6.00	$255.90	$455.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $189.42 / $352.93	Professional		$132.59	$189.42	$352.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $122.67 / $211.35	Facility		$112.08	$122.67	$211.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $164.22 / $179.24	Professional		$112.08	$164.22	$179.24
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $211.76 / $339.07	Professional		$152.47	$211.76	$339.07