Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,894.00 / $10,527.00	Facility		$657.00	$4,894.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.33 / $282.52 / $419.49	Professional		$247.33	$282.52	$419.49
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 $272.39 / $282.68 / $465.53	Professional		$272.39	$282.68	$465.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Facility		$310.14	$310.14	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.89 / $346.93 / $560.78	Professional		$266.89	$346.93	$560.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $433.20 / $549.65	Professional		$318.22	$433.20	$549.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $5,314.11	Facility		$0.50	$0.50	$5,314.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $365.61 / $365.61	Professional		$299.52	$365.61	$365.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $5,342.00 / $10,247.00	Facility		$1,020.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $254.26 / $301.94 / $1,434.29	Professional		$254.26	$301.94	$1,434.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $377.70 / $377.70 / $557.29	Professional		$377.70	$377.70	$557.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Facility		$310.14	$310.14	$310.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $265.27 / $351.59 / $579.89	Professional		$265.27	$351.59	$579.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $267.23 / $267.23 / $289.52	Facility		$267.23	$267.23	$289.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $270.52 / $289.52	Professional		$257.11	$270.52	$289.52
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $632.00 / $3,742.00	Facility		$162.00	$632.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.89 / $346.68 / $566.55	Professional		$266.89	$346.68	$566.55