Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.61 / $1,756.65 / $6,432.00	Facility		$89.61	$1,756.65	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $82.98 / $155.26	Professional		$51.90	$82.98	$155.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.98 / $326.91 / $326.91	Professional	50	$59.98	$326.91	$326.91
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 $84.75 / $87.94 / $231.51	Professional		$84.75	$87.94	$231.51
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $127.12 / $155.88 / $347.26	Professional	50	$127.12	$155.88	$347.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $101.54 / $196.58	Professional		$61.83	$101.54	$196.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $133.13 / $172.62	Professional		$99.94	$133.13	$172.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.55 / $1,659.29 / $3,104.09	Facility		$230.55	$1,659.29	$3,104.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $102.71 / $110.23	Professional		$99.47	$102.71	$110.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,819.00 / $7,571.96	Facility		$490.00	$1,819.00	$7,571.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $96.86 / $235.01	Professional		$55.71	$96.86	$235.01
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $59.98 / $59.98 / $326.91	Professional	50	$59.98	$59.98	$326.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $132.75 / $229.50	Professional		$51.32	$132.75	$229.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $94.98 / $94.98	Facility		$94.98	$94.98	$94.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $103.94 / $198.89	Professional		$61.83	$103.94	$198.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $84.59 / $203.91	Facility		$54.56	$84.59	$203.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $82.74 / $92.98	Professional		$54.56	$82.74	$92.98
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 $83.59 / $133.76 / $191.34	Professional		$83.59	$133.76	$191.34