Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.97 / $1,777.00 / $7,175.00	Facility		$407.97	$1,777.00	$7,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $333.41 / $675.08	Professional		$134.16	$333.41	$675.08
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 $370.49 / $469.04 / $656.76	Professional		$370.49	$469.04	$656.76
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $555.74 / $744.61 / $985.13	Professional	50	$555.74	$744.61	$985.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $248.99	Facility		$248.99	$248.99	$248.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $303.05 / $683.48	Professional		$154.93	$303.05	$683.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.97 / $594.67 / $772.05	Professional		$446.97	$594.67	$772.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.02 / $4,432.92 / $10,958.01	Facility		$936.02	$4,432.92	$10,958.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $527.77 / $1,978.00 / $7,799.00	Facility		$527.77	$1,978.00	$7,799.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $357.98 / $1,003.61	Professional		$135.69	$357.98	$1,003.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $844.00 / $1,069.80	Professional		$3.00	$844.00	$1,069.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $248.99	Facility		$248.99	$248.99	$248.99
Priority Health Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $309.06 / $689.44	Professional		$154.97	$309.06	$689.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.72 / $163.81 / $436.84	Facility		$141.72	$163.81	$436.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $368.37 / $403.70	Professional		$141.72	$368.37	$403.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $2,824.00 / $5,678.00	Facility		$1,747.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.47 / $513.17 / $781.38	Professional		$384.47	$513.17	$781.38