Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.81 / $2,070.00 / $7,197.00	Facility		$195.81	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $80.06 / $151.01	Professional		$61.18	$80.06	$151.01
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 $90.48 / $93.90 / $154.32	Professional		$90.48	$93.90	$154.32
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $135.72 / $140.84 / $231.52	Professional	50	$135.72	$140.84	$231.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $98.16 / $160.76	Professional		$71.18	$98.16	$160.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $140.37 / $183.39	Professional		$106.17	$140.37	$183.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.51 / $1,111.88 / $1,363.32	Facility		$713.51	$1,111.88	$1,363.32
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $100.82 / $100.82	Professional		$74.23	$100.82	$100.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,266.00 / $8,017.00	Facility		$540.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $87.84 / $269.27	Professional		$62.40	$87.84	$269.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $185.00	Professional		$90.00	$90.00	$185.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $100.72 / $165.81	Professional		$71.18	$100.72	$165.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $69.63 / $87.43	Facility		$65.30	$69.63	$87.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $82.57 / $92.59	Professional		$65.30	$82.57	$92.59
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 $83.18 / $108.57 / $163.69	Professional		$83.18	$108.57	$163.69