Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $1,711.62 / $6,424.76	Facility		$237.96	$1,711.62	$6,424.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $211.68 / $586.03	Professional		$102.28	$211.68	$586.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $212.65 / $212.65	Professional		$204.92	$212.65	$212.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $932.58 / $1,852.05	Facility		$320.00	$932.58	$1,852.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $202.68 / $365.35	Professional		$111.79	$202.68	$365.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $246.67 / $246.67 / $246.67	Facility		$246.67	$246.67	$246.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $332.68 / $425.06	Professional		$250.72	$332.68	$425.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.20 / $3,680.00 / $6,649.71	Facility		$1,055.20	$3,680.00	$6,649.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $113.75 / $205.62	Professional		$113.75	$113.75	$205.62
Martin's Point 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
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $231.46 / $678.33	Professional		$108.29	$231.46	$678.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $153.69 / $153.69	Facility		$153.69	$153.69	$153.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $157.10 / $599.10	Professional		$5.00	$157.10	$599.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $795.00 / $1,762.33	Facility		$181.76	$795.00	$1,762.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $203.88 / $370.00	Professional		$111.85	$203.88	$370.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.33 / $173.62 / $210.72	Facility		$107.33	$173.62	$210.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $173.62 / $228.72	Professional		$106.79	$173.62	$228.72
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $231.33 / $399.13	Professional		$167.45	$231.33	$399.13