Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $2,371.00 / $7,629.00	Facility		$264.00	$2,371.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $187.79 / $271.45	Professional		$116.03	$187.79	$271.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $4,396.00 / $8,639.91	Facility		$2,800.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $219.69 / $219.69	Professional		$211.70	$219.69	$219.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.53 / $458.24 / $2,109.00	Facility		$228.53	$458.24	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $209.71 / $370.07	Professional		$126.83	$209.71	$370.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.01 / $274.01 / $274.01	Facility		$274.01	$274.01	$274.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $340.90 / $435.56	Professional		$257.22	$340.90	$435.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,850.20 / $10,680.90 / $13,977.22	Facility		$6,850.20	$10,680.90	$13,977.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,371.00 / $7,799.00	Facility		$617.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $218.69 / $704.57	Professional		$117.61	$218.69	$704.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $160.30 / $160.30	Facility		$160.30	$160.30	$160.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $191.80 / $596.20	Professional		$5.00	$191.80	$596.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $491.00 / $2,151.00	Facility		$203.80	$491.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $213.32 / $387.28	Professional		$127.52	$213.32	$387.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.81 / $134.66 / $213.30	Facility		$117.81	$134.66	$213.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $135.36 / $230.64	Professional		$117.26	$135.36	$230.64
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 $171.97 / $233.89 / $410.59	Professional		$171.97	$233.89	$410.59