Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $774.82 / $816.83	Facility		$174.64	$774.82	$816.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $153.18 / $213.75	Professional		$105.36	$153.18	$213.75
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 $235.66 / $309.48 / $309.48	Professional		$235.66	$309.48	$309.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $309.48	Facility		$216.42	$216.42	$309.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $270.99	Professional		$157.99	$157.99	$270.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.72 / $309.48 / $588.01	Professional		$284.72	$309.48	$588.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.17 / $739.78 / $1,416.58	Facility		$97.17	$739.78	$1,416.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.98 / $212.81 / $232.11	Professional		$208.98	$212.81	$232.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $756.82 / $816.83	Facility		$174.64	$756.82	$816.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $149.04 / $247.58	Professional		$105.36	$149.04	$247.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $209.60 / $609.70	Professional		$97.70	$209.60	$609.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $309.48	Facility		$216.42	$216.42	$309.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $388.88	Professional		$157.99	$157.99	$388.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $221.27 / $294.57 / $294.57	Facility		$221.27	$294.57	$294.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $221.27 / $294.57 / $319.37	Professional		$221.27	$294.57	$319.37
United Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $153.02 / $178.44	Facility		$118.96	$153.02	$178.44
United Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $155.05 / $279.10	Professional		$127.92	$155.05	$279.10