Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.86 / $1,723.70 / $7,175.00	Facility		$218.86	$1,723.70	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $215.12 / $404.63	Professional		$131.21	$215.12	$404.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $242.29 / $381.43	Professional		$233.48	$242.29	$381.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $243.12	Facility		$243.12	$243.12	$243.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $246.04 / $479.18	Professional		$150.88	$246.04	$479.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $373.91 / $483.17	Professional		$279.73	$373.91	$483.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,005.03 / $3,246.12 / $61,755.16	Facility		$2,005.03	$3,246.12	$61,755.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $252.39 / $1,819.00 / $8,017.00	Facility		$252.39	$1,819.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $253.93 / $760.00	Professional		$134.31	$253.93	$760.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $209.60 / $209.60 / $532.00	Professional		$209.60	$209.60	$532.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $243.12	Facility		$243.12	$243.12	$243.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $249.28 / $481.21	Professional		$150.93	$249.28	$481.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $219.56 / $337.67	Facility		$139.21	$219.56	$337.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $229.52 / $251.12	Professional		$139.21	$229.52	$251.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.88 / $336.45 / $512.73	Professional		$237.88	$336.45	$512.73