Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,422.00 / $7,799.00	Facility		$617.00	$2,422.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.31 / $416.24 / $525.62	Professional		$362.31	$416.24	$525.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $411.17 / $426.69 / $517.92	Professional		$411.17	$426.69	$517.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $196.67 / $466.67	Facility		$70.00	$196.67	$466.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $494.52 / $822.01	Professional		$358.33	$494.52	$822.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $923.18 / $923.18 / $923.18	Facility		$923.18	$923.18	$923.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $488.25 / $647.66 / $827.51	Professional		$488.25	$647.66	$827.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,312.40 / $3,312.40 / $3,312.40	Facility		$3,312.40	$3,312.40	$3,312.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,371.00 / $7,799.00	Facility		$657.00	$2,371.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $377.32 / $457.16 / $2,154.85	Professional		$377.32	$457.16	$2,154.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $392.00 / $392.00	Facility		$392.00	$392.00	$392.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $454.80 / $1,056.20	Professional		$5.00	$454.80	$1,056.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $193.61 / $466.67	Facility		$70.00	$193.61	$466.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $494.52 / $828.30	Professional		$358.33	$494.52	$828.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $364.69 / $403.88 / $403.88	Facility		$364.69	$403.88	$403.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $364.69 / $403.88 / $427.56	Professional		$364.69	$403.88	$427.56
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 $350.72 / $455.94 / $774.01	Professional		$350.72	$455.94	$774.01