Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $826.00 / $1,218.52	Facility		$236.00	$826.00	$1,218.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $236.00 / $1,873.44	Professional		$176.04	$236.00	$1,873.44
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 $227.26 / $227.26 / $227.26	Professional		$227.26	$227.26	$227.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.49 / $430.51 / $967.08	Facility		$276.49	$430.51	$967.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $311.25 / $659.12	Professional		$134.19	$311.25	$659.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.36 / $393.34 / $553.58	Professional		$173.36	$393.34	$553.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.96 / $518.29 / $870.58	Facility		$482.96	$518.29	$870.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $247.66 / $826.00 / $1,203.32	Facility		$247.66	$826.00	$1,203.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $247.66 / $1,203.32	Professional		$197.93	$247.66	$1,203.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $431.21 / $437.04 / $582.72	Professional		$431.21	$437.04	$582.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.68 / $484.72 / $967.08	Facility		$283.68	$484.72	$967.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $311.95 / $659.12	Professional		$136.44	$311.95	$659.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $323.39	Facility		$291.36	$291.36	$323.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $323.39	Professional		$291.36	$291.36	$323.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $437.04	Professional		$122.37	$174.82	$437.04