Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $1,097.11 / $5,627.00	Facility		$98.51	$1,097.11	$5,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $88.23 / $171.63	Professional		$55.40	$88.23	$171.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $192.14 / $457.57	Professional	50	$130.26	$192.14	$457.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $146.32 / $193.11	Professional		$95.71	$146.32	$193.11
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $143.56 / $219.45 / $289.70	Professional	50	$143.56	$219.45	$289.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $100.82 / $171.42	Professional		$64.78	$100.82	$171.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $150.35 / $195.42	Professional		$113.14	$150.35	$195.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $602.85 / $1,765.53	Facility		$129.50	$602.85	$1,765.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $97.89 / $97.89	Professional		$97.89	$97.89	$97.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $1,379.25 / $7,175.00	Facility		$101.16	$1,379.25	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $94.77 / $305.05	Professional		$57.07	$94.77	$305.05
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $192.14 / $457.57	Professional	50	$130.26	$192.14	$457.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $105.90 / $203.30	Professional		$105.90	$105.90	$203.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $101.25 / $173.58	Professional		$64.78	$101.25	$173.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $66.06 / $100.96	Facility		$58.80	$66.06	$100.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $92.60 / $100.62	Professional		$58.80	$92.60	$100.62
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 $94.63 / $128.97 / $187.69	Professional		$94.63	$128.97	$187.69