Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,747.00 / $6,012.00	Facility		$657.00	$2,747.00	$6,012.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.59 / $31.59 / $193.71	Facility	53	$31.59	$31.59	$193.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $257.42 / $1,095.88	Professional		$145.33	$257.42	$1,095.88
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 $693.89 / $816.34 / $1,482.21	Professional		$693.89	$816.34	$1,482.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.81 / $370.09 / $1,572.36	Professional		$168.81	$370.09	$1,572.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $964.33 / $1,278.18 / $1,328.68	Professional		$964.33	$1,278.18	$1,328.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,057.32 / $4,400.35 / $7,262.42	Facility		$2,057.32	$4,400.35	$7,262.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,357.96 / $6,234.94	Facility		$540.00	$2,357.96	$6,234.94
Martin's Point Facility/Professional Facility Modifier 53 Low / Median / High Price $31.59 / $31.59 / $193.71	Facility	53	$31.59	$31.59	$193.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $350.60 / $1,484.93	Professional		$146.31	$350.60	$1,484.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $2,433.69	Professional		$6.00	$6.00	$2,433.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $394.84 / $1,572.36	Professional		$169.01	$394.84	$1,572.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $148.27 / $166.96 / $1,005.63	Facility		$148.27	$166.96	$1,005.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $812.39 / $900.64	Professional		$148.27	$812.39	$900.64
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.40 / $1,195.53 / $1,933.69	Professional		$867.40	$1,195.53	$1,933.69