Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.38 / $322.83 / $593.69	Facility		$219.38	$322.83	$593.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $220.65 / $406.86	Professional		$195.53	$220.65	$406.86
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 $210.34 / $319.98 / $359.10	Professional		$210.34	$319.98	$359.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $375.56 / $484.27	Facility		$191.15	$375.56	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.29 / $228.62 / $418.72	Professional		$194.29	$228.62	$418.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $333.34 / $343.60	Professional		$259.27	$333.34	$343.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.89 / $291.89 / $511.50	Facility		$291.89	$291.89	$511.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $216.58 / $238.24	Professional		$184.85	$216.58	$238.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $231.68 / $523.89 / $593.69	Facility		$231.68	$523.89	$593.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $245.04 / $427.35	Professional		$195.53	$245.04	$427.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.92 / $215.20 / $256.80	Professional		$200.92	$215.20	$256.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $253.52 / $403.23	Facility		$191.15	$253.52	$403.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.71 / $239.31 / $425.99	Professional		$194.71	$239.31	$425.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $200.18 / $219.23 / $219.23	Facility		$200.18	$219.23	$219.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $200.18 / $219.23 / $239.87	Professional		$200.18	$219.23	$239.87
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $577.00 / $3,742.00	Facility		$144.00	$577.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $208.35 / $391.29	Professional		$153.53	$208.35	$391.29