Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,422.00 / $7,629.00	Facility		$490.00	$2,422.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $49.50 / $75.06	Professional		$40.04	$49.50	$75.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $65.91 / $87.90	Professional		$42.15	$65.91	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $61.86 / $109.85	Professional		$46.22	$61.86	$109.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $76.23 / $76.23	Professional		$57.26	$76.23	$76.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,739.96 / $2,998.40 / $11,919.94	Facility		$2,739.96	$2,998.40	$11,919.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $7,799.00	Facility		$540.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $53.63 / $315.00	Professional		$41.02	$53.63	$315.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $94.50 / $118.80	Professional		$3.00	$94.50	$118.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $63.91 / $113.97	Professional		$49.44	$63.91	$113.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $46.33 / $50.88	Facility		$46.33	$46.33	$50.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $46.53 / $50.88	Professional		$44.94	$46.53	$50.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $55.90 / $95.33	Professional		$43.10	$55.90	$95.33