Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $1,020.00 / $5,627.00	Facility		$200.64	$1,020.00	$5,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $187.09 / $431.07	Professional		$131.83	$187.09	$431.07
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 $187.87 / $194.96 / $194.96	Professional		$187.87	$194.96	$194.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.95 / $342.57 / $795.00	Facility		$190.95	$342.57	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $206.26 / $346.82	Professional		$138.99	$206.26	$346.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $307.97 / $307.97 / $307.97	Facility		$307.97	$307.97	$307.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $302.31 / $386.26	Professional		$227.66	$302.31	$386.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.58 / $567.01 / $1,756.93	Facility		$418.58	$567.01	$1,756.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $133.05 / $140.74	Professional		$133.05	$133.05	$140.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $237.46 / $1,499.00 / $6,432.00	Facility		$237.46	$1,499.00	$6,432.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $206.95 / $624.00	Professional		$133.06	$206.95	$624.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $192.50 / $192.50	Facility		$192.50	$192.50	$192.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $201.20 / $513.60	Professional		$5.00	$201.20	$513.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $184.92 / $332.77 / $1,113.00	Facility		$184.92	$332.77	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $208.48 / $352.32	Professional		$140.21	$208.48	$352.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $130.05 / $132.88 / $187.89	Facility		$130.05	$132.88	$187.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.05 / $177.51 / $201.95	Professional		$130.05	$177.51	$201.95
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 $162.50 / $216.94 / $377.56	Professional		$162.50	$216.94	$377.56