Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.68 / $2,675.00 / $8,017.00	Facility		$247.68	$2,675.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $216.70 / $350.00	Professional		$157.28	$216.70	$350.00
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 $229.30 / $237.95 / $434.66	Professional		$229.30	$237.95	$434.66
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 $166.41 / $244.07 / $393.77	Professional		$166.41	$244.07	$393.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $375.19 / $375.19 / $375.19	Facility		$375.19	$375.19	$375.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $276.16 / $366.47 / $468.24	Professional		$276.16	$366.47	$468.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.66 / $8,774.48 / $10,128.45	Facility		$4,822.66	$8,774.48	$10,128.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,389.00 / $8,017.00	Facility		$832.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $246.21 / $700.00	Professional		$157.52	$246.21	$700.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $299.30 / $299.30 / $299.30	Facility		$299.30	$299.30	$299.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $333.80 / $611.50	Professional		$5.00	$333.80	$611.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $1,403.00 / $3,661.98	Facility		$282.58	$1,403.00	$3,661.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $247.12 / $395.00	Professional		$168.93	$247.12	$395.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $163.11 / $199.52 / $262.91	Facility		$163.11	$199.52	$262.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $222.31 / $242.98	Professional		$163.11	$222.31	$242.98
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $261.44 / $444.05	Professional		$199.59	$261.44	$444.05