Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $2,070.00 / $7,197.00	Facility		$79.92	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $69.70 / $96.97	Professional		$54.81	$69.70	$96.97
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 $73.44 / $76.20 / $125.07	Professional		$73.44	$76.20	$125.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $125.13 / $795.00	Facility		$67.67	$125.13	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $87.06 / $153.13	Professional		$57.51	$87.06	$153.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $134.16 / $134.16	Facility		$134.16	$134.16	$134.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $117.43 / $150.04	Professional		$88.46	$117.43	$150.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,912.31 / $3,828.20 / $4,995.57	Facility		$2,912.31	$3,828.20	$4,995.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,266.00 / $7,799.00	Facility		$540.00	$2,266.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $79.92 / $428.00	Professional		$56.41	$79.92	$428.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $87.70 / $197.10	Professional		$5.00	$87.70	$197.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $320.00 / $1,113.00	Facility		$65.53	$320.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $87.28 / $158.62	Professional		$59.00	$87.28	$158.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $57.29 / $72.79	Facility		$44.33	$57.29	$72.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $69.27 / $77.87	Professional		$55.85	$69.27	$77.87
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $89.62 / $149.16	Professional		$68.84	$89.62	$149.16