Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $3,839.00 / $7,799.00	Facility		$768.00	$3,839.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $422.95 / $654.69	Professional		$376.61	$422.95	$654.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,150.00 / $7,567.00 / $11,091.00	Facility		$4,150.00	$7,567.00	$11,091.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $418.02 / $433.80 / $667.13	Professional		$418.02	$433.80	$667.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $1,983.20 / $3,938.52	Facility		$491.00	$1,983.20	$3,938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $503.48 / $871.24	Professional		$348.62	$503.48	$871.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $939.39 / $939.39 / $939.39	Facility		$939.39	$939.39	$939.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $496.34 / $658.02 / $840.75	Professional		$496.34	$658.02	$840.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,124.39 / $8,931.78 / $15,228.84	Facility		$6,124.39	$8,931.78	$15,228.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,839.00 / $8,017.00	Facility		$832.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $388.32 / $477.99 / $2,250.41	Professional		$388.32	$477.99	$2,250.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.60 / $478.60 / $478.60	Facility		$478.60	$478.60	$478.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.60 / $653.90 / $925.40	Professional		$478.60	$653.90	$925.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $1,657.00 / $3,747.73	Facility		$472.42	$1,657.00	$3,747.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $356.69 / $495.73 / $871.24	Professional		$356.69	$495.73	$871.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $407.28 / $462.96	Facility		$407.28	$407.28	$462.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $397.04 / $407.28 / $462.96	Professional		$397.04	$407.28	$462.96
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,715.00 / $4,815.00	Facility		$825.00	$2,715.00	$4,815.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $472.16 / $852.15	Professional		$350.58	$472.16	$852.15