Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $538.20 / $5,310.50	Facility		$133.68	$538.20	$5,310.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $84.88 / $294.77	Professional		$64.98	$84.88	$294.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $130.26 / $173.12	Professional		$92.35	$130.26	$173.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Facility		$118.00	$118.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $104.64 / $169.92	Professional		$75.02	$104.64	$169.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $147.63 / $188.80	Professional		$109.31	$147.63	$188.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $116.23 / $122.36	Facility		$0.50	$116.23	$122.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $114.15 / $162.44	Professional		$98.10	$114.15	$162.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $1,541.00 / $7,175.00	Facility		$198.90	$1,541.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $103.35 / $385.00	Professional		$65.40	$103.35	$385.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $218.40	Professional		$99.90	$99.90	$218.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Facility		$118.00	$118.00	$118.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $106.50 / $177.94	Professional		$75.02	$106.50	$177.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $79.34 / $99.32	Facility		$68.62	$79.34	$99.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $87.38 / $95.70	Professional		$68.62	$87.38	$95.70
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 $86.08 / $120.44 / $182.77	Professional		$86.08	$120.44	$182.77