Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $239.43 / $926.59	Facility		$239.43	$239.43	$926.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $264.89 / $399.40	Professional		$200.62	$264.89	$399.40
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 $443.00 / $581.78 / $581.78	Professional		$443.00	$581.78	$581.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $613.97	Professional		$276.61	$276.61	$613.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $589.30 / $1,119.69	Professional		$542.16	$589.30	$1,119.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.84 / $392.84 / $392.84	Professional		$392.84	$392.84	$392.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $239.43 / $926.59	Facility		$239.43	$239.43	$926.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $264.89 / $443.00	Professional		$193.00	$264.89	$443.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $399.10 / $840.30 / $1,161.09	Professional		$399.10	$840.30	$1,161.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $862.13	Professional		$276.61	$276.61	$862.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $415.94 / $553.75 / $553.75	Facility		$415.94	$553.75	$553.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $415.94 / $553.75 / $707.79	Professional		$415.94	$553.75	$707.79
United Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $293.14 / $524.65	Professional		$240.22	$293.14	$524.65