Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.39 / $2,467.00 / $7,799.00	Facility		$185.39	$2,467.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $154.93 / $290.27	Professional		$101.63	$154.93	$290.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $188.85 / $237.35	Professional		$181.98	$188.85	$237.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $364.36 / $1,403.00	Facility		$186.01	$364.36	$1,403.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $178.52 / $315.39	Professional		$114.30	$178.52	$315.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $247.67 / $247.67 / $247.67	Facility		$247.67	$247.67	$247.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $291.76 / $372.78	Professional		$220.12	$291.76	$372.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.74 / $3,072.74 / $3,072.74	Facility		$3,072.74	$3,072.74	$3,072.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,679.00 / $8,017.00	Facility		$652.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $183.64 / $600.04	Professional		$107.67	$183.64	$600.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.30 / $162.30 / $162.30	Facility		$162.30	$162.30	$162.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $179.60 / $504.00	Professional		$5.00	$179.60	$504.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $429.00 / $1,865.00	Facility		$186.01	$429.00	$1,865.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $178.92 / $334.98	Professional		$114.65	$178.92	$334.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $139.65 / $182.11	Facility		$107.50	$139.65	$182.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $163.69 / $196.15	Professional		$107.34	$163.69	$196.15
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,631.00 / $3,742.00	Facility		$553.00	$1,631.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $194.99 / $326.33	Professional		$145.80	$194.99	$326.33