Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $1,819.00 / $7,175.00	Facility		$143.01	$1,819.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $120.44 / $213.49	Professional		$74.66	$120.44	$213.49
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 $129.41 / $201.38 / $288.87	Professional		$129.41	$201.38	$288.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $140.77 / $251.33	Professional		$88.58	$140.77	$251.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $203.41 / $264.39	Professional		$118.59	$203.41	$264.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.85 / $949.27 / $4,880.75	Facility		$297.85	$949.27	$4,880.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,070.00 / $7,799.00	Facility		$617.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $143.01 / $444.86	Professional		$77.68	$143.01	$444.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $172.50 / $292.10	Professional		$172.50	$172.50	$292.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $133.82 / $133.82	Facility		$133.82	$133.82	$133.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $140.78 / $255.13	Professional		$88.58	$140.78	$255.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $97.83 / $167.82	Facility		$78.59	$97.83	$167.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $131.51 / $143.21	Professional		$78.59	$131.51	$143.21
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 $138.69 / $193.25 / $292.27	Professional		$138.69	$193.25	$292.27