Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $2,240.00 / $7,629.00	Facility		$169.07	$2,240.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $151.96 / $241.68	Professional		$130.38	$151.96	$241.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $155.06 / $160.91 / $282.30	Professional		$155.06	$160.91	$282.30
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $232.59 / $241.36 / $423.44	Professional	50	$232.59	$241.36	$423.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $159.79 / $281.45	Professional		$122.04	$159.79	$281.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $187.98 / $242.41	Professional		$187.98	$187.98	$242.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,468.31 / $13,468.31 / $13,468.31	Facility		$13,468.31	$13,468.31	$13,468.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.69 / $314.69 / $314.69	Professional		$314.69	$314.69	$314.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,371.00 / $8,017.00	Facility		$594.00	$2,371.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $169.07 / $837.19	Professional		$135.43	$169.07	$837.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.39 / $288.39 / $288.39	Professional		$288.39	$288.39	$288.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $159.79 / $272.47	Professional		$121.49	$159.79	$272.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $152.41 / $356.05	Facility		$143.88	$152.41	$356.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $152.41 / $356.05	Professional		$143.11	$152.41	$356.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.00 / $2,884.00 / $6,000.00	Facility		$1,122.00	$2,884.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $178.50 / $318.97	Professional		$136.40	$178.50	$318.97