Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $2,467.00 / $8,104.00	Facility		$617.00	$2,467.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $385.58 / $776.46	Professional		$60.31	$385.58	$776.46
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 $584.54 / $606.60 / $606.60	Professional		$584.54	$606.60	$606.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $851.87 / $2,109.00	Facility		$491.00	$851.87	$2,109.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.69 / $446.55 / $1,056.71	Professional		$67.69	$446.55	$1,056.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $146.33 / $146.33	Facility		$146.33	$146.33	$146.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.24 / $961.20 / $1,220.93	Professional		$724.24	$961.20	$1,220.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.90 / $2,777.90 / $2,777.90	Facility		$2,777.90	$2,777.90	$2,777.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.08 / $747.08 / $821.79	Professional		$747.08	$747.08	$821.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $2,422.00 / $8,017.00	Facility		$641.00	$2,422.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $496.00 / $1,211.00	Professional		$63.26	$496.00	$1,211.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $97.80 / $97.80	Facility		$97.80	$97.80	$97.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $118.90 / $1,939.40	Professional		$4.00	$118.90	$1,939.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $824.96 / $2,151.00	Facility		$111.23	$824.96	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $421.00 / $1,050.75	Professional		$69.12	$421.00	$1,050.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $254.20 / $628.19	Facility		$64.14	$254.20	$628.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $391.01 / $688.49	Professional		$64.14	$391.01	$688.49
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 $430.85 / $721.58 / $1,329.30	Professional		$430.85	$721.58	$1,329.30