Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,371.00 / $7,799.00	Facility		$536.00	$2,371.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $168.71 / $212.19	Professional		$145.58	$168.71	$212.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $183.86 / $183.86	Professional		$177.18	$183.86	$183.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $427.00 / $512.00	Facility		$324.00	$427.00	$512.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $243.19 / $390.31	Professional		$191.67	$243.19	$390.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $290.93 / $290.93	Professional		$216.16	$290.93	$290.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.71 / $3,362.03 / $3,563.75	Facility		$1,319.71	$3,362.03	$3,563.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,326.00 / $8,017.00	Facility		$594.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $197.76 / $1,023.00	Professional		$152.60	$197.76	$1,023.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $199.30 / $438.80	Professional		$4.00	$199.30	$438.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $427.00 / $655.00	Facility		$270.00	$427.00	$655.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $243.19 / $413.56	Professional		$189.96	$243.19	$413.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.19 / $174.19 / $188.92	Facility		$174.19	$174.19	$188.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $177.97 / $188.92	Professional		$165.95	$177.97	$188.92
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $557.00 / $3,742.00	Facility		$162.00	$557.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $211.54 / $360.66	Professional		$169.92	$211.54	$360.66