Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,371.00 / $7,629.00	Facility		$490.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $76.36 / $101.08	Professional		$67.62	$76.36	$101.08
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 $77.69 / $80.62 / $98.81	Professional		$77.69	$80.62	$98.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $107.38 / $188.88	Professional		$80.62	$107.38	$188.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $120.47 / $122.25	Professional		$91.11	$120.47	$122.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,030.69 / $4,409.59 / $11,113.18	Facility		$2,030.69	$4,409.59	$11,113.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $8,017.00	Facility		$594.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $87.71 / $700.00	Professional		$67.62	$87.71	$700.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $123.60 / $193.10	Professional		$6.00	$123.60	$193.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $110.16 / $197.42	Professional		$83.45	$110.16	$197.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $74.70 / $105.84	Facility		$74.70	$74.70	$105.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $74.70 / $105.84	Professional		$72.83	$74.70	$105.84
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $95.57 / $156.80	Professional		$77.80	$95.57	$156.80