Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.82 / $2,543.00 / $7,799.00	Facility		$338.82	$2,543.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $230.64 / $386.98	Professional		$148.07	$230.64	$386.98
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 $296.64 / $307.85 / $447.28	Professional		$296.64	$307.85	$447.28
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 $159.68 / $257.41 / $475.80	Professional		$159.68	$257.41	$475.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $369.87 / $369.87	Facility		$369.87	$369.87	$369.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $359.81 / $480.94 / $614.50	Professional		$359.81	$480.94	$614.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.06 / $2,556.15 / $7,917.68	Facility		$1,067.06	$2,556.15	$7,917.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $456.15 / $2,605.00 / $8,017.00	Facility		$456.15	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $270.10 / $828.87	Professional		$150.54	$270.10	$828.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $219.40 / $219.40	Facility		$219.40	$219.40	$219.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $232.20 / $852.30	Professional		$5.00	$232.20	$852.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $1,403.00 / $3,661.98	Facility		$272.91	$1,403.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $257.83 / $475.80	Professional		$160.18	$257.83	$475.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $180.83 / $302.08	Facility		$157.91	$180.83	$302.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $206.86 / $327.57	Professional		$157.16	$206.86	$327.57
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 $214.19 / $311.39 / $513.23	Professional		$214.19	$311.39	$513.23