Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $52.96 / $9,775.00	Facility		$52.96	$52.96	$9,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $43.86 / $52.96	Professional		$25.11	$43.86	$52.96
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 $23.53 / $58.37 / $89.91	Professional		$23.53	$58.37	$89.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $50.52 / $83.11	Professional		$29.73	$50.52	$83.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $38.35 / $43.14	Professional		$38.35	$38.35	$43.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.82 / $1,146.82 / $1,215.61	Facility		$1,146.82	$1,146.82	$1,215.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $1,812.00 / $9,775.00	Facility		$52.96	$1,812.00	$9,775.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $45.47 / $105.92	Professional		$26.32	$45.47	$105.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $54.20 / $113.20	Professional		$48.00	$54.20	$113.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $51.73 / $86.29	Professional		$29.73	$51.73	$86.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $196.92	Facility		$26.00	$26.00	$196.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $26.52 / $196.92	Professional		$24.82	$26.52	$196.92
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $650.00 / $3,742.00	Facility		$144.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $55.81 / $89.64	Professional		$38.84	$55.81	$89.64