Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.63 / $426.69 / $503.49	Facility		$187.63	$426.69	$503.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $96.31 / $99.97	Professional		$79.78	$96.31	$99.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $95.09 / $95.09	Professional		$95.09	$95.09	$95.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $179.94 / $404.22	Facility		$115.69	$179.94	$404.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $587.61 / $587.61	Professional		$587.61	$587.61	$587.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $164.58 / $301.12	Professional		$128.01	$164.58	$301.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $303.00 / $766.57	Facility		$302.72	$303.00	$766.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.50 / $503.49 / $503.49	Facility		$331.50	$503.49	$503.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $167.02 / $503.49	Professional		$90.31	$167.02	$503.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $182.87 / $243.82	Professional		$180.43	$182.87	$243.82
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $202.81 / $404.22	Facility		$118.70	$202.81	$404.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $587.61 / $587.61	Professional		$587.61	$587.61	$587.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $165.57	Facility		$121.91	$121.91	$165.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $121.91 / $165.57	Professional		$121.91	$121.91	$165.57
United Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $63.22 / $63.22	Facility		$63.22	$63.22	$63.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $73.15 / $180.62	Professional		$51.20	$73.15	$180.62