Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,901.00 / $7,175.00	Facility		$480.00	$1,901.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $177.02 / $305.85	Professional		$157.36	$177.02	$305.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,292.00 / $5,951.00 / $9,100.00	Facility		$3,292.00	$5,951.00	$9,100.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $183.83 / $183.83	Professional		$177.15	$183.83	$183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $226.36 / $358.60	Professional		$171.67	$226.36	$358.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $270.83 / $353.76	Professional		$204.81	$270.83	$353.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $796.91 / $2,266.21	Facility		$0.50	$796.91	$2,266.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $262.39 / $395.56	Professional		$262.39	$262.39	$395.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,819.00 / $7,799.00	Facility		$480.00	$1,819.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $198.53 / $940.47	Professional		$159.18	$198.53	$940.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $245.40 / $368.10	Professional		$245.40	$245.40	$368.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $228.07 / $362.88	Professional		$171.67	$228.07	$362.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $174.86 / $174.86 / $216.92	Facility		$174.86	$174.86	$216.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $175.81 / $216.92	Professional		$169.44	$175.81	$216.92
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $632.00 / $3,742.00	Facility		$162.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $229.84 / $347.88	Professional		$171.38	$229.84	$347.88