Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $2,070.00 / $7,799.00	Facility		$249.97	$2,070.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $216.87 / $341.10	Professional		$153.03	$216.87	$341.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $237.72 / $288.36	Professional		$229.08	$237.72	$288.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.43 / $411.30 / $2,109.00	Facility		$222.43	$411.30	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $251.16 / $425.00	Professional		$167.84	$251.16	$425.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.26 / $371.26 / $371.26	Facility		$371.26	$371.26	$371.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.64 / $365.46 / $466.94	Professional		$275.64	$365.46	$466.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,753.02 / $7,640.64 / $9,458.99	Facility		$3,753.02	$7,640.64	$9,458.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $326.32 / $2,070.00 / $8,017.00	Facility		$326.32	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $236.75 / $742.41	Professional		$159.43	$236.75	$742.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $208.80 / $208.80	Facility		$208.80	$208.80	$208.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $240.70 / $618.50	Professional		$5.00	$240.70	$618.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $215.40 / $491.00 / $2,151.00	Facility		$215.40	$491.00	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $253.39 / $426.62	Professional		$170.24	$253.39	$426.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $161.99 / $228.07	Facility		$135.60	$161.99	$228.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $186.74 / $244.43	Professional		$157.93	$186.74	$244.43
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,631.00 / $3,742.00	Facility		$553.00	$1,631.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.06 / $264.02 / $439.21	Professional		$199.06	$264.02	$439.21