Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.62 / $952.38 / $8,017.00	Facility		$130.62	$952.38	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $120.99 / $247.21	Professional		$67.70	$120.99	$247.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $175.84 / $240.43	Professional		$119.38	$175.84	$240.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $116.51 / $198.50	Professional		$66.52	$116.51	$198.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $183.76 / $189.19	Professional		$142.93	$183.76	$189.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.35 / $949.18 / $1,040.88	Facility		$329.35	$949.18	$1,040.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $125.71 / $136.87	Professional		$118.33	$125.71	$136.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,839.00 / $8,017.00	Facility		$540.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $125.83 / $259.62	Professional		$70.06	$125.83	$259.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $120.70 / $127.60	Professional		$120.70	$120.70	$127.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $117.78	Facility		$117.78	$117.78	$117.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $117.78 / $222.69	Professional		$68.50	$117.78	$222.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $82.87 / $127.57	Facility		$67.47	$82.87	$127.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $116.93 / $127.39	Professional		$67.47	$116.93	$127.39
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $137.16 / $230.91	Professional		$108.22	$137.16	$230.91