Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.00 / $851.70 / $1,312.20	Facility		$243.00	$851.70	$1,312.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $243.00 / $1,929.00	Professional		$199.09	$243.00	$1,929.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,516.57 / $8,459.92	Facility		$1,138.08	$1,516.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $443.08 / $995.33	Facility		$284.70	$443.08	$995.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $283.67 / $577.38	Professional		$142.88	$283.67	$577.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $405.00 / $570.00	Professional		$178.50	$405.00	$570.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.02 / $604.16 / $896.40	Facility		$418.02	$604.16	$896.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $815.76 / $1,254.68	Facility		$280.50	$815.76	$1,254.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $255.00 / $1,239.00	Professional		$216.00	$255.00	$1,239.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $450.00 / $600.00	Professional		$444.00	$450.00	$600.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $291.86 / $499.10 / $995.33	Facility		$291.86	$499.10	$995.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $283.99 / $577.38	Professional		$143.02	$283.99	$577.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $362.46	Facility		$300.00	$300.00	$362.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $362.46	Professional		$300.00	$300.00	$362.46
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $602.42	Professional		$126.00	$180.00	$602.42