Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $341.60 / $7,799.00	Facility		$67.08	$341.60	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $77.12 / $159.96	Professional		$41.96	$77.12	$159.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.02 / $29.89 / $40.60	Professional	52	$20.02	$29.89	$40.60
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.01 / $11.96 / $16.23	Professional	53	$8.01	$11.96	$16.23
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 $73.09 / $75.86 / $164.42	Professional		$73.09	$75.86	$164.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $80.62 / $136.47	Professional		$50.45	$80.62	$136.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $116.61 / $117.09	Professional		$87.76	$116.61	$117.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $724.10 / $1,128.90	Facility		$130.13	$724.10	$1,128.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $254.92 / $1,544.00 / $8,017.00	Facility		$254.92	$1,544.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $80.59 / $169.63	Professional		$45.18	$80.59	$169.63
Martin's Point Facility/Professional Professional Modifier 52 Low / Median / High Price $20.12 / $32.85 / $65.73	Professional	52	$20.12	$32.85	$65.73
Martin's Point Facility/Professional Professional Modifier 53 Low / Median / High Price $8.05 / $13.42 / $26.30	Professional	53	$8.05	$13.42	$26.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $96.40 / $194.60	Professional		$3.00	$96.40	$194.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $82.28 / $141.71	Professional		$50.71	$82.28	$141.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $65.08 / $74.20	Facility		$45.21	$65.08	$74.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $70.94 / $77.45	Professional		$45.21	$70.94	$77.45
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 $67.93 / $88.93 / $138.28	Professional		$67.93	$88.93	$138.28