Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $2,070.00 / $7,197.00	Facility		$157.87	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $141.26 / $245.16	Professional		$102.18	$141.26	$245.16
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 $142.29 / $147.66 / $147.66	Professional		$142.29	$147.66	$147.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.82 / $262.24 / $795.00	Facility		$141.82	$262.24	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $163.57 / $280.12	Professional		$108.83	$163.57	$280.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $247.91 / $247.91	Facility		$247.91	$247.91	$247.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.06 / $226.62 / $289.55	Professional		$171.06	$226.62	$289.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,463.05 / $5,214.35 / $8,312.21	Facility		$1,463.05	$5,214.35	$8,312.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,326.00 / $7,799.00	Facility		$540.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $157.76 / $468.87	Professional		$105.75	$157.76	$468.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $152.40 / $152.40 / $152.40	Facility		$152.40	$152.40	$152.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $165.10 / $391.50	Professional		$5.00	$165.10	$391.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $137.34 / $320.00 / $1,113.00	Facility		$137.34	$320.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $163.77 / $285.38	Professional		$111.43	$163.77	$285.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $136.74 / $142.66	Facility		$107.26	$136.74	$142.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $136.74 / $153.06	Professional		$106.96	$136.74	$153.06
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 $128.96 / $169.28 / $289.06	Professional		$128.96	$169.28	$289.06