Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $771.42 / $8,017.00	Facility		$127.55	$771.42	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $145.44 / $273.58	Professional		$99.34	$145.44	$273.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $149.13 / $149.13	Professional		$143.69	$149.13	$149.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $167.04 / $257.82	Professional		$113.41	$167.04	$257.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $229.34 / $235.45	Professional		$173.11	$229.34	$235.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.40 / $890.62 / $1,147.10	Facility		$440.40	$890.62	$1,147.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $3,839.00 / $8,247.00	Facility		$260.70	$3,839.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $161.19 / $346.06	Professional		$106.17	$161.19	$346.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $173.40 / $375.70	Professional		$3.00	$173.40	$375.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $168.27 / $260.02	Professional		$114.90	$168.27	$260.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $107.77 / $150.11	Facility		$86.22	$107.77	$150.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $136.72 / $149.27	Professional		$105.57	$136.72	$149.27
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $167.50 / $291.77	Professional		$123.28	$167.50	$291.77