Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $1,685.95 / $7,175.00	Facility		$142.30	$1,685.95	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $120.36 / $205.48	Professional		$63.69	$120.36	$205.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $195.37 / $276.44	Professional		$123.64	$195.37	$276.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $104.48	Facility		$104.48	$104.48	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $131.01 / $242.16	Professional		$74.17	$131.01	$242.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $194.43 / $253.08	Professional		$118.59	$194.43	$253.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.42 / $308.42 / $339.67	Facility		$308.42	$308.42	$339.67
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $63.94 / $63.94	Professional		$63.94	$63.94	$63.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $203.44 / $2,202.00 / $8,017.00	Facility		$203.44	$2,202.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $132.91 / $354.29	Professional		$64.84	$132.91	$354.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $168.70 / $255.92	Professional		$82.87	$168.70	$255.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $104.48	Facility		$104.48	$104.48	$104.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $131.86 / $247.98	Professional		$74.17	$131.86	$247.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $67.39 / $87.68 / $163.32	Facility		$67.39	$87.68	$163.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $132.32 / $143.54	Professional		$67.39	$132.32	$143.54
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $184.22 / $262.13	Professional		$129.38	$184.22	$262.13