Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $1,519.00 / $7,175.00	Facility		$218.34	$1,519.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $165.90 / $295.63	Professional		$118.90	$165.90	$295.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $207.99 / $207.99	Professional		$200.42	$207.99	$207.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $365.00 / $1,404.00	Facility		$213.62	$365.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $201.77 / $356.95	Professional		$127.72	$201.77	$356.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.62 / $282.62 / $282.62	Facility		$282.62	$282.62	$282.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $321.77 / $411.13	Professional		$240.12	$321.77	$411.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $293.20 / $322.39	Facility		$293.20	$293.20	$322.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $133.36 / $133.36	Professional		$133.36	$133.36	$133.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $2,070.00 / $7,799.00	Facility		$480.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $195.01 / $683.00	Professional		$124.95	$195.01	$683.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.40 / $209.40 / $209.40	Facility		$209.40	$209.40	$209.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $217.90 / $540.50	Professional		$5.00	$217.90	$540.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $365.00 / $1,404.00	Facility		$213.62	$365.00	$1,404.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.35 / $203.15 / $365.00	Professional		$129.35	$203.15	$365.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $131.81 / $198.40	Facility		$123.79	$131.81	$198.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $191.03 / $212.98	Professional		$123.79	$191.03	$212.98
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 $157.22 / $218.48 / $364.07	Professional		$157.22	$218.48	$364.07