Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.17 / $3,839.00 / $8,247.00	Facility		$190.17	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $190.17 / $239.99	Professional		$164.25	$190.17	$239.99
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 $200.20 / $207.76 / $322.49	Professional		$200.20	$207.76	$322.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $275.11 / $441.90	Professional		$216.48	$275.11	$441.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $328.97 / $328.97	Professional		$244.30	$328.97	$328.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,372.98 / $5,372.98 / $5,372.98	Facility		$5,372.98	$5,372.98	$5,372.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $205.80 / $1,024.44	Professional		$172.16	$205.80	$1,024.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $272.89 / $494.00	Professional		$4.00	$272.89	$494.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $275.11 / $467.94	Professional		$214.31	$275.11	$467.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $196.88 / $196.88 / $254.88	Facility		$196.88	$196.88	$254.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $187.47 / $201.27 / $254.88	Professional		$187.47	$201.27	$254.88
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 $191.38 / $252.20 / $403.66	Professional		$191.38	$252.20	$403.66