Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.13 / $938.94 / $1,374.82	Facility		$208.13	$938.94	$1,374.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.13 / $693.71 / $1,303.20	Professional		$470.13	$693.71	$1,303.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $88.24 / $8,459.92	Facility		$75.00	$88.24	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $88.24 / $88.24	Professional		$88.24	$88.24	$88.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.45 / $885.45 / $885.45	Facility		$885.45	$885.45	$885.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.52 / $1,082.52 / $3,702.87	Professional		$903.52	$1,082.52	$3,702.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $790.27 / $790.27 / $790.27	Professional		$790.27	$790.27	$790.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $671.37 / $3,131.78	Facility		$450.90	$671.37	$3,131.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $470.12 / $932.85 / $1,525.53	Facility		$470.12	$932.85	$1,525.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $509.53 / $771.67 / $1,303.20	Professional		$509.53	$771.67	$1,303.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.66 / $1,505.04 / $2,064.59	Professional		$1,013.66	$1,505.04	$2,064.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $885.45 / $885.45 / $885.45	Facility		$885.45	$885.45	$885.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $903.52 / $1,082.52 / $3,702.87	Professional		$903.52	$1,082.52	$3,702.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $883.24 / $883.24 / $971.56	Facility		$883.24	$883.24	$971.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $971.56	Professional		$883.24	$883.24	$971.56
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,219.75	Professional		$883.24	$883.24	$1,219.75