Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,605.00 / $8,017.00	Facility		$657.00	$2,605.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.12 / $291.12 / $427.53	Professional		$263.12	$291.12	$427.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $4,396.00 / $8,639.91	Facility		$2,404.00	$4,396.00	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $290.07 / $390.92	Professional		$279.52	$290.07	$390.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,235.59 / $2,434.58	Facility		$429.00	$1,235.59	$2,434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $365.40 / $625.21	Professional		$270.14	$365.40	$625.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $615.97 / $615.97 / $615.97	Facility		$615.97	$615.97	$615.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $429.18 / $548.36	Professional		$324.58	$429.18	$548.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,057.44 / $5,151.97 / $6,412.19	Facility		$4,057.44	$5,151.97	$6,412.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $357.21 / $357.21	Professional		$357.21	$357.21	$357.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $2,605.00 / $8,017.00	Facility		$760.00	$2,605.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $321.33 / $1,498.73	Professional		$271.50	$321.33	$1,498.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $368.00 / $368.00 / $368.00	Facility		$368.00	$368.00	$368.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $480.60 / $705.20	Professional		$5.00	$480.60	$705.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $1,225.90 / $2,316.65	Facility		$318.64	$1,225.90	$2,316.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $364.42 / $627.90	Professional		$271.20	$364.42	$627.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $274.20 / $274.20 / $354.69	Facility		$274.20	$274.20	$354.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $275.45 / $354.69	Professional		$266.01	$275.45	$354.69
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $344.09 / $571.48	Professional		$260.27	$344.09	$571.48