Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.31 / $1,758.00 / $7,914.45	Facility		$257.31	$1,758.00	$7,914.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $328.39 / $614.49	Professional		$163.13	$328.39	$614.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $369.81 / $383.77 / $618.90	Professional		$369.81	$383.77	$618.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $305.94	Facility		$305.94	$305.94	$305.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $407.96 / $742.10	Professional		$194.14	$407.96	$742.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $445.12 / $596.98 / $768.84	Professional		$445.12	$596.98	$768.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,289.83 / $11,210.28 / $21,058.44	Facility		$1,289.83	$11,210.28	$21,058.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.67 / $175.40 / $278.43	Professional		$171.67	$175.40	$278.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $267.39 / $1,736.50 / $7,914.45	Facility		$267.39	$1,736.50	$7,914.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $353.57 / $785.74	Professional		$168.50	$353.57	$785.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $536.70 / $536.70 / $921.00	Professional		$536.70	$536.70	$921.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $305.94	Facility		$305.94	$305.94	$305.94
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.58 / $408.80 / $750.93	Professional		$194.58	$408.80	$750.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.08 / $377.84 / $434.77	Facility		$177.08	$377.84	$434.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $371.04 / $407.21	Professional		$174.60	$371.04	$407.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,447.00 / $3,311.00 / $6,000.00	Facility		$1,447.00	$3,311.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.77 / $495.53 / $790.09	Professional		$383.77	$495.53	$790.09