Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $2,070.00 / $7,629.00	Facility		$113.33	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $100.19 / $164.20	Professional		$83.64	$100.19	$164.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
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 $101.64 / $105.48 / $181.85	Professional		$101.64	$105.48	$181.85
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $152.47 / $158.22 / $272.75	Professional	50	$152.47	$158.22	$272.75
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 $80.72 / $106.47 / $189.98	Professional		$80.72	$106.47	$189.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $124.31 / $160.30	Professional		$124.31	$124.31	$160.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,327.01 / $1,725.73	Facility		$780.00	$1,327.01	$1,725.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $127.08 / $207.86	Professional		$121.41	$127.08	$207.86
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $172.16 / $190.62 / $206.28	Professional	50	$172.16	$190.62	$206.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $8,017.00	Facility		$540.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $106.90 / $336.59	Professional		$87.01	$106.90	$336.59
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $235.00	Professional		$235.00	$235.00	$235.00
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 $80.72 / $106.47 / $174.95	Professional		$80.72	$106.47	$174.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.44 / $100.19 / $310.19	Facility		$95.44	$100.19	$310.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $100.19 / $310.19	Professional		$94.53	$100.19	$310.19
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $121.28 / $202.29	Professional		$90.73	$121.28	$202.29