Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $295.76 / $399.86	Facility		$187.19	$295.76	$399.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $192.50 / $488.86	Professional		$136.96	$192.50	$488.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $237.89 / $364.78	Professional		$229.24	$237.89	$364.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $150.00 / $200.62	Facility		$65.00	$150.00	$200.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $247.79 / $381.85	Professional		$195.61	$247.79	$381.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $253.57 / $343.58	Professional		$92.55	$253.57	$343.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.04 / $502.47 / $759.49	Facility		$321.04	$502.47	$759.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $290.08 / $400.08	Facility		$202.75	$290.08	$400.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $202.76 / $555.95	Professional		$137.74	$202.76	$555.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $92.60 / $577.50	Professional		$92.60	$92.60	$577.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $150.00 / $200.62	Facility		$65.00	$150.00	$200.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $243.70 / $404.17	Professional		$194.23	$243.70	$404.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $223.30 / $223.30	Facility		$204.96	$223.30	$223.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $223.30 / $234.21	Professional		$204.96	$223.30	$234.21
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $222.83 / $380.85	Professional		$168.72	$222.83	$380.85