Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $1,777.00 / $8,017.00	Facility		$112.40	$1,777.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $122.70 / $196.77	Professional		$65.68	$122.70	$196.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $173.01 / $237.74	Professional		$140.35	$173.01	$237.74
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $210.53 / $276.39 / $356.58	Professional	50	$210.53	$276.39	$356.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $132.41 / $243.50	Professional		$73.93	$132.41	$243.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.09 / $223.57 / $290.33	Professional		$168.09	$223.57	$290.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.38 / $1,880.51 / $3,978.54	Facility		$544.38	$1,880.51	$3,978.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $178.87 / $178.87	Professional		$178.87	$178.87	$178.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $1,978.00 / $7,799.00	Facility		$199.93	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $135.18 / $378.07	Professional		$70.20	$135.18	$378.07
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $155.80 / $278.60	Professional		$89.10	$155.80	$278.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $132.65 / $245.05	Professional		$75.44	$132.65	$245.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.44 / $108.71 / $254.80	Facility		$74.44	$108.71	$254.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $138.71 / $151.41	Professional		$74.36	$138.71	$151.41
United Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $1,219.00 / $3,742.00	Facility		$435.00	$1,219.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $180.40 / $265.82	Professional		$136.44	$180.40	$265.82