Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.75 / $657.00 / $4,761.00	Facility		$155.75	$657.00	$4,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $138.35 / $360.95	Professional		$98.12	$138.35	$360.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $218.53 / $261.66	Professional		$151.26	$218.53	$261.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $163.74 / $271.25	Professional		$114.55	$163.74	$271.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $245.72 / $312.52	Professional		$180.94	$245.72	$312.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.97 / $2,222.98 / $3,477.65	Facility		$368.97	$2,222.98	$3,477.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $187.69 / $188.22	Professional		$118.91	$187.69	$188.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,656.72 / $7,197.00	Facility		$428.00	$1,656.72	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $165.42 / $462.60	Professional		$98.70	$165.42	$462.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $152.60 / $314.60	Professional		$152.60	$152.60	$314.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $181.52	Facility		$181.52	$181.52	$181.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $164.11 / $272.91	Professional		$114.55	$164.11	$272.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $117.83 / $150.13	Facility		$103.31	$117.83	$150.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $141.93 / $156.00	Professional		$103.31	$141.93	$156.00
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $185.08 / $273.95	Professional		$138.44	$185.08	$273.95