Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $763.85 / $1,166.84	Facility		$225.99	$763.85	$1,166.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.46 / $228.78 / $1,793.97	Professional		$206.46	$228.78	$1,793.97
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 $217.62 / $217.62 / $217.62	Professional		$217.62	$217.62	$217.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $412.12 / $816.08	Facility		$181.35	$412.12	$816.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $268.16 / $630.97	Professional		$130.69	$268.16	$630.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $376.65 / $530.10	Professional		$166.01	$376.65	$530.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.31 / $478.31 / $478.31	Facility		$478.31	$478.31	$478.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $237.15 / $763.85 / $1,152.27	Facility		$237.15	$763.85	$1,152.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $320.85 / $1,152.27	Professional		$200.88	$320.85	$1,152.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $412.92 / $418.50 / $558.00	Professional		$412.92	$418.50	$558.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $186.79 / $464.17 / $925.79	Facility		$186.79	$464.17	$925.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $297.86 / $630.97	Professional		$146.97	$297.86	$630.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $279.00 / $279.00	Facility		$154.00	$279.00	$279.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $279.00 / $279.00	Professional		$154.00	$279.00	$279.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $167.40 / $390.60	Professional		$98.21	$167.40	$390.60