Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $187.47 / $725.51	Facility		$187.47	$187.47	$725.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $215.40 / $278.58	Professional		$186.44	$215.40	$278.58
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 $346.86 / $455.53 / $455.53	Professional		$346.86	$455.53	$455.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $545.54	Facility		$297.02	$297.02	$545.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $477.69	Professional		$216.82	$216.82	$477.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.90 / $545.54 / $1,036.53	Professional		$501.90	$545.54	$1,036.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $307.60 / $307.60	Professional		$307.60	$307.60	$307.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $187.47 / $725.51	Facility		$187.47	$187.47	$725.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $215.40 / $415.40	Professional		$186.44	$215.40	$415.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $483.20 / $777.80 / $1,074.80	Professional		$483.20	$777.80	$1,074.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $545.54	Facility		$297.02	$297.02	$545.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $565.50	Professional		$216.82	$216.82	$565.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $433.58 / $433.58	Facility		$325.69	$433.58	$433.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $433.58 / $519.25	Professional		$325.69	$433.58	$519.25
United Facility/Professional Professional Modifier Low / Median / High Price $189.39 / $228.22 / $398.01	Professional		$189.39	$228.22	$398.01