Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.78 / $499.00 / $1,249.78	Facility		$221.78	$499.00	$1,249.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $221.78 / $250.00	Professional		$180.14	$221.78	$250.00
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 $172.86 / $203.36 / $333.40	Professional		$172.86	$203.36	$333.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $212.14	Facility		$212.14	$212.14	$212.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $281.31 / $391.67	Professional		$187.02	$281.31	$391.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.47 / $1,169.15 / $1,227.73	Facility		$701.47	$1,169.15	$1,227.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.17 / $261.26 / $261.26	Professional		$245.17	$261.26	$261.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $221.78 / $499.00 / $3,802.00	Facility		$221.78	$499.00	$3,802.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $221.78 / $319.88	Professional		$168.95	$221.78	$319.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.10 / $383.79 / $568.01	Professional		$336.10	$383.79	$568.01
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $212.14	Facility		$212.14	$212.14	$212.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $161.44 / $163.68	Facility		$161.44	$161.44	$163.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $175.69 / $259.82	Professional		$161.44	$175.69	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $201.69 / $402.31	Professional		$143.49	$201.69	$402.31