Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.44 / $1,901.00 / $7,197.00	Facility		$440.44	$1,901.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $272.61 / $493.41	Professional		$247.31	$272.61	$493.41
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 $259.66 / $414.02 / $455.25	Professional		$259.66	$414.02	$455.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $375.56 / $484.27	Facility		$191.15	$375.56	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $288.64 / $525.19	Professional		$244.96	$288.64	$525.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.58 / $408.32 / $420.46	Professional		$317.58	$408.32	$420.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.00 / $1,573.00 / $1,573.00	Facility		$1,573.00	$1,573.00	$1,573.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.61 / $260.08 / $267.37	Professional		$247.61	$260.08	$267.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,266.00 / $8,017.00	Facility		$594.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $313.80 / $931.98	Professional		$247.32	$313.80	$931.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $275.80 / $328.50	Professional		$247.71	$275.80	$328.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $310.55 / $403.23	Facility		$191.15	$310.55	$403.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $302.70 / $551.66	Professional		$246.52	$302.70	$551.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $268.79 / $268.79	Facility		$258.83	$268.79	$268.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $268.79 / $292.83	Professional		$258.83	$268.79	$292.83
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 $208.28 / $264.12 / $510.56	Professional		$208.28	$264.12	$510.56