Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.93 / $2,747.00 / $7,629.00	Facility		$394.93	$2,747.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.82 / $335.77 / $498.91	Professional		$233.82	$335.77	$498.91
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 $354.45 / $367.83 / $583.74	Professional		$354.45	$367.83	$583.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,865.00 / $3,848.41	Facility		$429.00	$1,865.00	$3,848.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $363.37 / $609.40	Professional		$253.33	$363.37	$609.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $567.08 / $567.08 / $567.08	Facility		$567.08	$567.08	$567.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.13 / $570.79 / $729.30	Professional		$430.13	$570.79	$729.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.11 / $1,951.96 / $2,806.11	Facility		$1,248.11	$1,951.96	$2,806.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,909.00 / $8,017.00	Facility		$657.00	$2,909.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $246.38 / $363.04 / $1,019.00	Professional		$246.38	$363.04	$1,019.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $270.80 / $270.80 / $270.80	Facility		$270.80	$270.80	$270.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $336.20 / $984.60	Professional		$5.00	$336.20	$984.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $1,403.00 / $3,661.98	Facility		$420.40	$1,403.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $257.55 / $365.35 / $580.89	Professional		$257.55	$365.35	$580.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $212.15 / $245.40 / $356.37	Facility		$212.15	$245.40	$356.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.97 / $261.85 / $384.01	Professional		$239.97	$261.85	$384.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $3,879.00 / $7,000.00	Facility		$1,530.00	$3,879.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.37 / $386.08 / $656.06	Professional		$280.37	$386.08	$656.06