Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $822.65 / $822.65	Facility		$121.32	$822.65	$822.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $141.97 / $187.99	Professional		$121.32	$141.97	$187.99
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 $224.46 / $294.77 / $294.77	Professional		$224.46	$294.77	$294.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $378.24	Facility		$190.69	$190.69	$378.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $341.63	Professional		$139.19	$139.19	$341.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.60 / $393.04 / $746.78	Professional		$361.60	$393.04	$746.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.18 / $126.65 / $1,357.29	Facility		$124.18	$126.65	$1,357.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $199.05 / $206.35	Professional		$199.05	$199.05	$206.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $263.39 / $822.65	Facility		$263.39	$263.39	$822.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $141.97 / $235.82	Professional		$121.32	$141.97	$235.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $266.20 / $774.40	Professional		$243.10	$266.20	$774.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $378.24	Facility		$190.69	$190.69	$378.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $341.63	Professional		$139.19	$139.19	$341.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $210.76 / $280.58 / $280.58	Facility		$210.76	$280.58	$280.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $210.76 / $280.58 / $374.11	Professional		$210.76	$280.58	$374.11
United Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $147.30 / $265.83	Professional		$123.26	$147.30	$265.83