Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $2,747.00 / $8,104.00	Facility		$108.17	$2,747.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $111.36 / $193.86	Professional		$77.14	$111.36	$193.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $633.00	Professional	50	$221.07	$221.07	$633.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $146.41 / $214.77	Professional		$104.07	$146.41	$214.77
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $156.11 / $235.04 / $322.14	Professional	50	$156.11	$235.04	$322.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $137.49 / $222.68	Professional		$89.83	$137.49	$222.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.49 / $186.04 / $189.53	Professional		$140.49	$186.04	$189.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.40 / $1,383.32 / $3,274.04	Facility		$774.40	$1,383.32	$3,274.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,964.00 / $8,247.00	Facility		$540.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $126.76 / $219.95	Professional		$82.04	$126.76	$219.95
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $633.00	Professional	50	$221.07	$221.07	$633.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $149.90 / $314.00	Professional		$3.00	$149.90	$314.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $141.00 / $235.47	Professional		$91.74	$141.00	$235.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $92.81 / $162.06	Facility		$81.81	$92.81	$162.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $114.01 / $124.13	Professional		$81.81	$114.01	$124.13
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $149.35 / $236.26	Professional		$115.58	$149.35	$236.26