Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,051.00 / $8,240.00	Facility		$1,013.00	$4,051.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $194.20 / $321.20	Professional		$172.52	$194.20	$321.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $207.03 / $207.03	Professional		$199.50	$207.03	$207.03
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 $177.35 / $244.81 / $394.43	Professional		$177.35	$244.81	$394.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.67 / $316.89 / $404.89	Professional		$238.67	$316.89	$404.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.96 / $10,856.12 / $14,536.44	Facility		$1,118.96	$10,856.12	$14,536.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.61 / $212.61 / $212.61	Professional		$212.61	$212.61	$212.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,247.00	Facility		$1,283.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $235.13 / $1,180.26	Professional		$173.40	$235.13	$1,180.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $214.40 / $214.40 / $214.40	Facility		$214.40	$214.40	$214.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $265.20 / $511.10	Professional		$5.00	$265.20	$511.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $1,978.20 / $3,738.29	Facility		$226.54	$1,978.20	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $247.21 / $397.29	Professional		$188.21	$247.21	$397.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.15 / $194.15 / $248.65	Facility		$194.15	$194.15	$248.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $194.15 / $248.65	Professional		$189.56	$194.15	$248.65
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 $168.21 / $220.80 / $373.91	Professional		$168.21	$220.80	$373.91