Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $525.49 / $808.24	Facility		$156.53	$525.49	$808.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $156.53 / $1,242.59	Professional		$129.61	$156.53	$1,242.59
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 $150.74 / $150.74 / $150.74	Professional		$150.74	$150.74	$150.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $285.39 / $641.10	Facility		$183.39	$285.39	$641.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $206.29 / $436.94	Professional		$88.94	$206.29	$436.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $260.89 / $367.18	Professional		$114.99	$260.89	$367.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.45 / $526.10 / $858.80	Facility		$221.45	$526.10	$858.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $525.49 / $798.12	Facility		$180.69	$525.49	$798.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $164.26 / $798.12	Professional		$139.13	$164.26	$798.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $289.88 / $386.50	Professional		$286.01	$289.88	$386.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $187.96 / $321.50 / $641.10	Facility		$187.96	$321.50	$641.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $206.81 / $436.94	Professional		$91.64	$206.81	$436.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $448.80	Facility		$193.25	$193.25	$448.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $448.80	Professional		$193.25	$193.25	$448.80
United Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $231.90 / $231.90	Facility		$173.93	$231.90	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $289.88	Professional		$81.17	$115.95	$289.88