Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.83 / $2,266.00 / $7,629.00	Facility		$248.83	$2,266.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $209.91 / $305.68	Professional		$125.40	$209.91	$305.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,396.00 / $8,639.91	Facility		$2,404.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $220.34 / $228.66 / $228.66	Professional		$220.34	$228.66	$228.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.28 / $356.00 / $795.00	Facility		$231.28	$356.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $217.11 / $382.00	Professional		$133.58	$217.11	$382.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $290.47 / $290.47 / $290.47	Facility		$290.47	$290.47	$290.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $355.22 / $453.87	Professional		$267.83	$355.22	$453.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,569.97 / $5,729.00 / $19,574.09	Facility		$3,569.97	$5,729.00	$19,574.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $536.00 / $2,371.00 / $7,799.00	Facility		$536.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $222.83 / $700.00	Professional		$127.70	$222.83	$700.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $191.10 / $191.10	Facility		$191.10	$191.10	$191.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $211.30 / $623.00	Professional		$5.00	$211.30	$623.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $343.00 / $1,113.00	Facility		$216.48	$343.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $217.62 / $387.99	Professional		$134.16	$217.62	$387.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.96 / $149.96 / $223.39	Facility		$126.96	$149.96	$223.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $169.35 / $241.34	Professional		$126.62	$169.35	$241.34
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.53 / $243.32 / $428.97	Professional		$170.53	$243.32	$428.97