Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $2,747.00 / $8,017.00	Facility		$882.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $735.88 / $1,077.70	Professional		$198.86	$735.88	$1,077.70
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 $644.96 / $758.78 / $1,592.39	Professional		$644.96	$758.78	$1,592.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $958.00 / $2,760.00	Facility		$491.00	$958.00	$2,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.91 / $447.53 / $1,490.30	Professional		$211.91	$447.53	$1,490.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $449.02 / $449.02 / $449.02	Facility		$449.02	$449.02	$449.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $892.15 / $1,181.97 / $1,510.20	Professional		$892.15	$1,181.97	$1,510.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,806.87 / $6,806.87 / $6,806.87	Facility		$6,806.87	$6,806.87	$6,806.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $934.00 / $3,120.00 / $8,017.00	Facility		$934.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $757.74 / $1,626.64	Professional		$201.93	$757.74	$1,626.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.70 / $1,122.70 / $1,122.70	Facility		$1,122.70	$1,122.70	$1,122.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $1,328.20 / $2,245.19	Professional		$4.00	$1,328.20	$2,245.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $942.93 / $3,025.00	Facility		$348.15	$942.93	$3,025.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $447.53 / $1,457.13	Professional		$216.00	$447.53	$1,457.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $623.03 / $957.31	Facility		$199.51	$623.03	$957.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $756.35 / $835.25	Professional		$199.51	$756.35	$835.25
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 $774.25 / $1,047.43 / $1,725.19	Professional		$774.25	$1,047.43	$1,725.19