Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.91 / $2,266.00 / $7,629.00	Facility		$229.91	$2,266.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $190.43 / $258.76	Professional		$94.02	$190.43	$258.76
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $298.11 / $381.35	Professional		$207.96	$298.11	$381.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.69 / $398.41 / $1,657.00	Facility		$198.69	$398.41	$1,657.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $218.03 / $395.00	Professional		$105.53	$218.03	$395.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.48 / $215.48 / $215.48	Facility		$215.48	$215.48	$215.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $333.38 / $425.96	Professional		$251.37	$333.38	$425.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,963.37 / $2,963.37 / $2,963.37	Facility		$2,963.37	$2,963.37	$2,963.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,407.00 / $7,799.00	Facility		$641.00	$2,407.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $203.93 / $683.00	Professional		$96.55	$203.93	$683.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.00 / $229.00 / $229.00	Facility		$229.00	$229.00	$229.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $229.00 / $571.60	Professional		$5.00	$229.00	$571.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $491.00 / $2,019.00	Facility		$166.80	$491.00	$2,019.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $217.29 / $399.97	Professional		$105.73	$217.29	$399.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $106.29 / $218.80	Facility		$96.22	$106.29	$218.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $202.58 / $221.70	Professional		$96.22	$202.58	$221.70
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,734.00 / $4,300.00	Facility		$550.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $248.07 / $414.29	Professional		$186.22	$248.07	$414.29