Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,926.00 / $8,017.00	Facility		$428.00	$1,926.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $177.66 / $372.00	Professional		$83.45	$177.66	$372.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $2,838.15 / $8,459.92	Facility		$1,772.00	$2,838.15	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $216.58 / $224.75 / $224.75	Professional		$216.58	$224.75	$224.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $160.15	Facility		$160.15	$160.15	$160.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $185.83 / $355.42	Professional		$93.19	$185.83	$355.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $347.25 / $450.51	Professional		$260.82	$347.25	$450.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.30 / $1,880.51 / $4,260.39	Facility		$1,599.30	$1,880.51	$4,260.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $594.00 / $2,070.00 / $8,017.00	Facility		$594.00	$2,070.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $202.65 / $594.71	Professional		$87.37	$202.65	$594.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.45 / $198.60 / $425.00	Professional		$110.45	$198.60	$425.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $160.15	Facility		$160.15	$160.15	$160.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $188.52 / $378.32	Professional		$94.63	$188.52	$378.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $140.06 / $309.19	Facility		$91.96	$140.06	$309.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $219.13 / $239.95	Professional		$91.96	$219.13	$239.95
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,897.02 / $3,742.00	Facility		$471.00	$1,897.02	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $264.52 / $415.90	Professional		$198.78	$264.52	$415.90