Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.38 / $357.38 / $1,383.06	Facility		$357.38	$357.38	$1,383.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.37 / $418.21 / $761.22	Professional		$357.37	$418.21	$761.22
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 $626.70 / $681.32 / $681.32	Professional		$626.70	$681.32	$681.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.32 / $758.68 / $758.68	Facility		$681.32	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $882.75	Professional		$553.84	$553.84	$882.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $626.80 / $681.32 / $1,294.51	Professional		$626.80	$681.32	$1,294.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.92 / $545.05 / $833.17	Professional		$476.92	$545.05	$833.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $357.38 / $357.38 / $1,383.06	Facility		$357.38	$357.38	$1,383.06
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $357.37 / $418.21 / $795.82	Professional		$357.37	$418.21	$795.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $472.40 / $472.40 / $1,710.90	Professional		$472.40	$472.40	$1,710.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $681.32 / $758.68 / $758.68	Facility		$681.32	$758.68	$758.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $882.75	Professional		$553.84	$553.84	$882.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $783.37 / $783.37 / $878.73	Facility		$783.37	$783.37	$878.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $774.31 / $783.37 / $878.73	Professional		$774.31	$783.37	$878.73
United Facility/Professional Professional Modifier Low / Median / High Price $432.51 / $608.29 / $1,003.79	Professional		$432.51	$608.29	$1,003.79