Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.98 / $2,070.00 / $7,799.00	Facility		$274.98	$2,070.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $226.97 / $310.64	Professional		$172.79	$226.97	$310.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,746.00 / $13,822.74	Facility		$2,299.82	$2,746.00	$13,822.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $248.55 / $257.93 / $427.67	Professional		$248.55	$257.93	$427.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $446.00 / $816.23	Facility		$320.00	$446.00	$816.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $265.77 / $427.26	Professional		$185.76	$265.77	$427.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $422.04 / $422.04 / $422.04	Facility		$422.04	$422.04	$422.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $397.24 / $507.55	Professional		$299.33	$397.24	$507.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.56 / $1,997.56 / $1,997.56	Facility		$1,997.56	$1,997.56	$1,997.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $261.52 / $1,059.00	Professional		$182.06	$261.52	$1,059.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Facility		$238.10	$238.10	$238.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $292.30 / $679.70	Professional		$5.00	$292.30	$679.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $432.61 / $1,113.00	Facility		$317.00	$432.61	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $268.48 / $434.72	Professional		$189.55	$268.48	$434.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $183.46 / $249.86	Facility		$175.60	$183.46	$249.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $178.74 / $211.63 / $267.58	Professional		$178.74	$211.63	$267.58
United Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $541.00 / $3,742.00	Facility		$80.00	$541.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $284.64 / $490.73	Professional		$208.54	$284.64	$490.73