Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $1,340.00 / $6,012.00	Facility		$92.04	$1,340.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $116.07 / $187.54	Professional		$57.06	$116.07	$187.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
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 $155.51 / $181.68 / $252.76	Professional		$155.51	$181.68	$252.76
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $233.27 / $290.69 / $379.14	Professional	50	$233.27	$290.69	$379.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $110.60	Facility		$110.60	$110.60	$110.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $130.02 / $241.46	Professional		$67.84	$130.02	$241.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $248.05 / $322.07	Professional		$186.46	$248.05	$322.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $1,238.14 / $3,081.35	Facility		$820.59	$1,238.14	$3,081.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $1,357.00 / $7,175.00	Facility		$92.04	$1,357.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $128.62 / $347.13	Professional		$59.96	$128.62	$347.13
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $166.50 / $286.16	Professional		$60.96	$166.50	$286.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $110.60 / $110.60	Facility		$110.60	$110.60	$110.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $131.61 / $243.41	Professional		$67.84	$131.61	$243.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $108.95 / $258.48	Facility		$61.99	$108.95	$258.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $152.01 / $165.97	Professional		$61.99	$152.01	$165.97
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 $131.00 / $176.15 / $263.92	Professional		$131.00	$176.15	$263.92