Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.48 / $1,638.00 / $6,012.00	Facility		$203.48	$1,638.00	$6,012.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $166.26 / $367.28	Professional		$109.82	$166.26	$367.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $228.21 / $339.80	Professional		$158.34	$228.21	$339.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $199.37 / $340.20	Professional		$121.50	$199.37	$340.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $148.00 / $288.62	Professional		$9.60	$148.00	$288.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.81 / $1,456.19 / $3,908.33	Facility		$464.81	$1,456.19	$3,908.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,777.00 / $7,175.00	Facility		$480.00	$1,777.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $189.59 / $555.49	Professional		$111.07	$189.59	$555.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $149.69 / $501.00	Professional		$5.00	$149.69	$501.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $201.35 / $359.71	Professional		$129.22	$201.35	$359.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $121.77 / $184.22	Facility		$115.15	$121.77	$184.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $178.05 / $195.09	Professional		$118.88	$178.05	$195.09
United Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,522.88 / $3,211.00	Facility		$582.00	$1,522.88	$3,211.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $221.32 / $388.12	Professional		$147.66	$221.32	$388.12