Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $269.70 / $675.86	Facility		$155.00	$269.70	$675.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $167.00 / $226.15	Professional		$146.29	$167.00	$226.15
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 $218.71 / $226.96 / $226.96	Professional		$218.71	$226.96	$226.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $644.24 / $1,066.67	Facility		$194.24	$644.24	$1,066.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $205.23 / $370.91	Professional		$152.02	$205.23	$370.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $289.24 / $417.34	Professional		$190.25	$289.24	$417.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.66 / $417.41 / $631.30	Facility		$315.66	$417.41	$631.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $345.67 / $730.16	Facility		$184.85	$345.67	$730.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $168.93 / $313.10	Professional		$146.29	$168.93	$313.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $431.30 / $645.94	Professional		$136.40	$431.30	$645.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $163.85 / $581.37 / $1,011.56	Facility		$163.85	$581.37	$1,011.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $205.78 / $385.84	Professional		$152.72	$205.78	$385.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.30 / $234.30 / $234.30	Facility		$234.30	$234.30	$234.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.30 / $234.30 / $238.99	Professional		$234.30	$234.30	$238.99
United Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $212.69 / $367.95	Professional		$129.25	$212.69	$367.95