Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,688.00 / $7,175.00	Facility		$150.00	$1,688.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $124.02 / $191.16	Professional		$77.54	$124.02	$191.16
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 $132.41 / $137.41 / $215.52	Professional		$132.41	$137.41	$215.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $150.05 / $260.47	Professional		$88.29	$150.05	$260.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $210.38 / $215.28	Professional		$158.81	$210.38	$215.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.14 / $698.77 / $1,827.87	Facility		$463.14	$698.77	$1,827.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,070.00 / $7,799.00	Facility		$540.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $138.13 / $279.00	Professional		$84.78	$138.13	$279.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $235.00 / $360.10	Professional		$4.00	$235.00	$360.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $154.35 / $276.89	Professional		$90.17	$154.35	$276.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $124.72 / $236.09	Facility		$77.52	$124.72	$236.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $128.99 / $140.88	Professional		$77.52	$128.99	$140.88
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,305.00 / $3,742.00	Facility		$435.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $174.89 / $276.98	Professional		$126.76	$174.89	$276.98