Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,070.00 / $7,197.00	Facility		$379.00	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $239.92 / $342.89	Professional		$215.11	$239.92	$342.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $258.89 / $418.99	Professional		$249.48	$258.89	$418.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $280.64 / $473.45	Professional		$199.96	$280.64	$473.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.79 / $404.83 / $517.83	Professional		$299.79	$404.83	$517.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.58 / $252.58 / $252.58	Professional		$252.58	$252.58	$252.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,266.00 / $8,017.00	Facility		$617.00	$2,266.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $255.26 / $1,251.97	Professional		$217.51	$255.26	$1,251.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.70 / $240.70 / $509.10	Professional		$240.70	$240.70	$509.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $285.06 / $482.80	Professional		$216.00	$285.06	$482.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $236.86 / $239.39	Facility		$179.63	$236.86	$239.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $236.86 / $256.92	Professional		$222.58	$236.86	$256.92
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,391.00 / $4,789.00	Facility		$912.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $276.75 / $465.04	Professional		$203.88	$276.75	$465.04