Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $1,541.00 / $6,045.62	Facility		$166.61	$1,541.00	$6,045.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $166.63 / $335.28	Professional		$99.60	$166.63	$335.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $206.23 / $214.02 / $332.11	Professional		$206.23	$214.02	$332.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.74 / $356.00 / $795.00	Facility		$203.74	$356.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $195.05 / $374.89	Professional		$112.35	$195.05	$374.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $254.86 / $254.86 / $254.86	Facility		$254.86	$254.86	$254.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $333.29 / $425.25	Professional		$248.40	$333.29	$425.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.08 / $2,538.06 / $5,969.14	Facility		$792.08	$2,538.06	$5,969.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $219.53 / $240.55	Professional		$129.31	$219.53	$240.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $1,819.00 / $7,175.00	Facility		$212.88	$1,819.00	$7,175.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $202.86 / $498.37	Professional		$108.14	$202.86	$498.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $209.50 / $209.50	Facility		$209.50	$209.50	$209.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $230.80 / $457.70	Professional		$162.58	$230.80	$457.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $343.00 / $1,113.00	Facility		$192.17	$343.00	$1,113.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $194.59 / $374.89	Professional		$114.52	$194.59	$374.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $117.79 / $206.77	Facility		$110.34	$117.79	$206.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $201.96 / $222.84	Professional		$110.34	$201.96	$222.84
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 $155.15 / $218.76 / $385.04	Professional		$155.15	$218.76	$385.04