Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.76 / $2,505.00 / $9,099.42	Facility		$313.76	$2,505.00	$9,099.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $245.75 / $574.17	Professional		$122.40	$245.75	$574.17
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 $300.35 / $311.69 / $311.69	Professional		$300.35	$311.69	$311.69
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 $135.63 / $260.29 / $488.02	Professional		$135.63	$260.29	$488.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $311.75 / $311.75	Facility		$311.75	$311.75	$311.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.99 / $488.70 / $620.84	Professional		$363.99	$488.70	$620.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.94 / $5,493.85 / $9,918.68	Facility		$1,456.94	$5,493.85	$9,918.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $179.15 / $403.84	Professional		$130.11	$179.15	$403.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,639.00 / $8,894.52	Facility		$379.00	$2,639.00	$8,894.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $287.83 / $714.63	Professional		$128.54	$287.83	$714.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $230.60 / $230.60 / $230.60	Facility		$230.60	$230.60	$230.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $262.00 / $680.90	Professional		$198.16	$262.00	$680.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $795.00 / $3,671.23	Facility		$233.97	$795.00	$3,671.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $264.37 / $499.92	Professional		$136.94	$264.37	$499.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $134.59 / $304.06	Facility		$134.21	$134.59	$304.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $221.77 / $329.18	Professional		$134.21	$221.77	$329.18
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $3,339.99 / $8,734.42	Facility		$902.00	$3,339.99	$8,734.42
United Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $315.86 / $539.99	Professional		$214.64	$315.86	$539.99