Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $1,978.00 / $7,629.00	Facility		$131.79	$1,978.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $88.09 / $133.69	Professional		$62.21	$88.09	$133.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $119.44 / $179.17	Professional		$115.09	$119.44	$179.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $111.60 / $200.15	Professional		$69.62	$111.60	$200.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $177.40 / $237.31	Professional		$137.19	$177.40	$237.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $85.27	Professional		$85.25	$85.25	$85.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,070.00 / $7,799.00	Facility		$490.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $106.44 / $372.16	Professional		$67.34	$106.44	$372.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $545.70 / $545.70	Professional		$155.00	$545.70	$545.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $118.90 / $118.90	Facility		$73.77	$118.90	$118.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $111.60 / $203.14	Professional		$69.64	$111.60	$203.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $115.40 / $580.59	Facility		$67.65	$115.40	$580.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $113.37 / $196.30	Professional		$67.65	$113.37	$196.30
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $1,078.00 / $3,742.00	Facility		$144.00	$1,078.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $134.03 / $397.92	Professional		$105.08	$134.03	$397.92