Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $1,819.00 / $7,175.00	Facility		$124.93	$1,819.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $107.77 / $153.07	Professional		$80.59	$107.77	$153.07
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 $86.31 / $101.54 / $101.54	Professional		$86.31	$101.54	$101.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $101.40 / $323.00	Facility		$70.00	$101.40	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $124.62 / $234.84	Professional		$81.75	$124.62	$234.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $176.72 / $176.72 / $176.72	Facility		$176.72	$176.72	$176.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $155.44 / $198.60	Professional		$117.20	$155.44	$198.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $806.75 / $941.21 / $3,272.00	Facility		$806.75	$941.21	$3,272.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $1,901.00 / $7,197.00	Facility		$139.38	$1,901.00	$7,197.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $121.27 / $452.23	Professional		$84.53	$121.27	$452.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Facility		$97.70	$97.70	$97.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $116.10 / $305.50	Professional		$5.00	$116.10	$305.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $100.00 / $323.00	Facility		$70.00	$100.00	$323.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $124.62 / $237.74	Professional		$82.96	$124.62	$237.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $86.07 / $113.57	Facility		$83.52	$86.07	$113.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $91.56 / $121.84	Professional		$83.52	$91.56	$121.84
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 $92.72 / $130.38 / $228.19	Professional		$92.72	$130.38	$228.19