Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,304.00 / $8,404.00	Facility		$832.00	$4,304.00	$8,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $250.35 / $404.75	Professional		$224.60	$250.35	$404.75
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 $247.46 / $256.80 / $433.85	Professional		$247.46	$256.80	$433.85
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 $231.77 / $309.12 / $490.07	Professional		$231.77	$309.12	$490.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $557.84 / $557.84 / $557.84	Facility		$557.84	$557.84	$557.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $391.74 / $500.52	Professional		$295.18	$391.74	$500.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,573.56 / $2,573.56 / $10,937.17	Facility		$2,573.56	$2,573.56	$10,937.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $4,761.00 / $8,404.00	Facility		$976.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $228.21 / $335.99 / $1,454.66	Professional		$228.21	$335.99	$1,454.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $304.80 / $304.80	Facility		$304.80	$304.80	$304.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $366.30 / $627.79	Professional		$5.00	$366.30	$627.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $1,978.20 / $3,738.29	Facility		$280.11	$1,978.20	$3,738.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $308.06 / $503.13	Professional		$233.45	$308.06	$503.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $240.63 / $324.58	Facility		$240.63	$240.63	$324.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $240.63 / $324.58	Professional		$234.57	$240.63	$324.58
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 $216.69 / $286.11 / $475.37	Professional		$216.69	$286.11	$475.37