Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $1,569.00 / $6,432.00	Facility		$162.24	$1,569.00	$6,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $139.65 / $261.20	Professional		$103.62	$139.65	$261.20
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 $159.90 / $230.58 / $281.62	Professional		$159.90	$230.58	$281.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $197.98	Facility		$197.98	$197.98	$197.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $173.47 / $283.81	Professional		$123.71	$173.47	$283.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.49 / $261.93 / $330.75	Professional		$191.49	$261.93	$330.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.44 / $1,933.98 / $3,997.94	Facility		$442.44	$1,933.98	$3,997.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $198.60 / $282.70	Professional		$197.84	$198.60	$282.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,978.00 / $7,799.00	Facility		$379.00	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $164.36 / $481.85	Professional		$106.51	$164.36	$481.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $164.10 / $327.10	Professional		$161.65	$164.10	$327.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $197.98	Facility		$197.98	$197.98	$197.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $175.09 / $292.41	Professional		$123.79	$175.09	$292.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $127.47 / $161.59	Facility		$112.72	$127.47	$161.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $149.90 / $165.30	Professional		$112.72	$149.90	$165.30
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 $147.18 / $195.02 / $291.14	Professional		$147.18	$195.02	$291.14