Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.95 / $2,070.00 / $7,197.00	Facility		$383.95	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.99 / $304.20 / $569.28	Professional		$208.99	$304.20	$569.28
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 $347.72 / $360.84 / $360.84	Professional		$347.72	$360.84	$360.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $897.93 / $1,783.25	Facility		$343.00	$897.93	$1,783.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $343.39 / $599.82	Professional		$225.31	$343.39	$599.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $517.29	Facility		$517.29	$517.29	$517.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.35 / $561.65 / $714.36	Professional		$417.35	$561.65	$714.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,818.09 / $5,007.82 / $6,711.64	Facility		$1,818.09	$5,007.82	$6,711.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $236.12 / $236.12	Professional		$236.12	$236.12	$236.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,120.00 / $7,799.00	Facility		$540.00	$2,120.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $362.76 / $1,023.00	Professional		$225.24	$362.76	$1,023.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $253.70 / $253.70	Facility		$253.70	$253.70	$253.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $281.80 / $949.20	Professional		$5.00	$281.80	$949.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $795.00 / $1,696.86	Facility		$343.00	$795.00	$1,696.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $344.44 / $593.91	Professional		$229.94	$344.44	$593.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $187.83 / $223.60 / $342.17	Facility		$187.83	$223.60	$342.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $290.51 / $367.42	Professional		$216.95	$290.51	$367.42
United Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $1,728.00 / $4,300.00	Facility		$528.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $383.04 / $641.36	Professional		$282.41	$383.04	$641.36