Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,422.00 / $7,629.00	Facility		$540.00	$2,422.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $166.12 / $264.45	Professional		$150.54	$166.12	$264.45
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 $169.89 / $254.75 / $303.70	Professional		$169.89	$254.75	$303.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $228.65 / $362.32	Professional		$168.29	$228.65	$362.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.90 / $267.33 / $267.33	Professional		$200.90	$267.33	$267.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $189.61 / $250.54	Professional		$189.61	$189.61	$250.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $7,799.00	Facility		$594.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $176.02 / $1,053.51	Professional		$153.00	$176.02	$1,053.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.40 / $436.40 / $436.40	Professional		$436.40	$436.40	$436.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $228.28 / $374.77	Professional		$168.29	$228.28	$374.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $168.52 / $168.52 / $176.46	Facility		$168.52	$168.52	$176.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $170.20 / $176.82	Professional		$162.54	$170.20	$176.82
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $577.00 / $3,742.00	Facility		$162.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $238.08 / $368.71	Professional		$174.34	$238.08	$368.71