Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $455.62 / $1,003.66	Facility		$149.32	$455.62	$1,003.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $168.29 / $237.75	Professional		$139.76	$168.29	$237.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,020.88 / $5,000.00 / $77,850.02	Facility		$1,020.88	$5,000.00	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $158.75 / $327.91	Professional		$152.97	$158.75	$327.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $682.12 / $1,428.60	Facility		$188.27	$682.12	$1,428.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $220.36 / $362.55	Professional		$156.24	$220.36	$362.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $361.03 / $361.03 / $361.03	Facility		$361.03	$361.03	$361.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $247.86 / $325.02	Professional		$189.11	$247.86	$325.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.20 / $794.73 / $2,210.00	Facility		$663.20	$794.73	$2,210.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $189.00 / $471.00 / $1,003.66	Facility		$189.00	$471.00	$1,003.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $174.92 / $311.08	Professional		$139.76	$174.92	$311.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Facility		$69.20	$69.20	$69.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $248.48 / $485.20	Professional		$69.20	$248.48	$485.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $519.76 / $1,428.60	Facility		$188.27	$519.76	$1,428.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $217.46 / $372.10	Professional		$156.24	$217.46	$372.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $160.27 / $228.59	Facility		$49.13	$160.27	$228.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $160.27 / $228.06	Professional		$157.44	$160.27	$228.06
United Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $184.06 / $316.41	Professional		$142.66	$184.06	$316.41