Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.46 / $2,070.00 / $7,629.00	Facility		$199.46	$2,070.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $163.54 / $246.39	Professional		$69.64	$163.54	$246.39
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 $151.94 / $178.77 / $299.39	Professional		$151.94	$178.77	$299.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $897.93 / $1,783.25	Facility		$320.00	$897.93	$1,783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $161.26 / $319.07	Professional		$71.84	$161.26	$319.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $162.81 / $162.81	Facility		$162.81	$162.81	$162.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $210.46 / $297.99	Professional		$124.31	$210.46	$297.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.53 / $2,294.82 / $5,293.07	Facility		$1,179.53	$2,294.82	$5,293.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $85.31 / $113.84	Professional		$79.00	$85.31	$113.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,326.00 / $7,799.00	Facility		$617.00	$2,326.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $181.77 / $592.39	Professional		$71.73	$181.77	$592.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $84.40 / $84.40	Facility		$84.40	$84.40	$84.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $134.90 / $464.40	Professional		$84.40	$134.90	$464.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $795.00 / $1,696.86	Facility		$123.68	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $163.30 / $309.23	Professional		$72.09	$163.30	$309.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $93.17 / $175.70	Facility		$70.73	$93.17	$175.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $157.11 / $190.06	Professional		$70.73	$157.11	$190.06
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 $135.44 / $188.34 / $307.98	Professional		$135.44	$188.34	$307.98