Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $4,353.85 / $11,615.00	Facility		$373.77	$4,353.85	$11,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $236.28 / $872.00	Professional		$191.06	$236.28	$872.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $222.24 / $222.24	Professional		$188.90	$222.24	$222.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $1,993.85 / $3,928.61	Facility		$606.00	$1,993.85	$3,928.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.31 / $263.68 / $427.05	Professional		$196.31	$263.68	$427.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $484.11 / $484.11 / $484.11	Facility		$484.11	$484.11	$484.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $339.66 / $438.51	Professional		$256.00	$339.66	$438.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.27 / $6,397.93 / $14,536.44	Facility		$1,106.27	$6,397.93	$14,536.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $382.43 / $4,632.64 / $10,527.00	Facility		$382.43	$4,632.64	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $309.81 / $951.00	Professional		$202.40	$309.81	$951.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $219.50 / $219.50 / $219.50	Facility		$219.50	$219.50	$219.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $280.60 / $548.10	Professional		$5.00	$280.60	$548.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $1,978.20 / $3,738.29	Facility		$242.90	$1,978.20	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $265.80 / $435.10	Professional		$202.04	$265.80	$435.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.03 / $208.03 / $271.20	Facility		$208.03	$208.03	$271.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $208.03 / $271.20	Professional		$203.07	$208.03	$271.20
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 $181.51 / $238.47 / $393.28	Professional		$181.51	$238.47	$393.28