Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.82 / $2,070.00 / $7,197.00	Facility		$477.82	$2,070.00	$7,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $382.99 / $551.39	Professional		$118.88	$382.99	$551.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $436.04 / $436.04	Professional		$420.18	$436.04	$436.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $1,113.00 / $3,858.13	Facility		$320.00	$1,113.00	$3,858.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $356.95 / $763.12	Professional		$132.47	$356.95	$763.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $289.93 / $289.93 / $289.93	Facility		$289.93	$289.93	$289.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $515.87 / $684.65 / $873.03	Professional		$515.87	$684.65	$873.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.68 / $1,296.68 / $1,296.68	Facility		$1,296.68	$1,296.68	$1,296.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $2,070.00 / $7,799.00	Facility		$540.00	$2,070.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $413.10 / $1,023.00	Professional		$123.35	$413.10	$1,023.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $258.10 / $258.10	Facility		$258.10	$258.10	$258.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $305.89 / $1,082.00	Professional		$183.83	$305.89	$1,082.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $795.00 / $3,671.23	Facility		$219.22	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $367.80 / $753.63	Professional		$133.81	$367.80	$753.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $263.29 / $513.22	Facility		$125.80	$263.29	$513.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $424.40 / $468.74	Professional		$125.80	$424.40	$468.74
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 $345.88 / $471.17 / $798.15	Professional		$345.88	$471.17	$798.15