Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $448.53	Facility		$115.90	$115.90	$448.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $130.22 / $154.11	Professional		$113.29	$130.22	$154.11
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 $214.43 / $281.61 / $281.61	Professional		$214.43	$281.61	$281.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $331.03	Facility		$185.61	$185.61	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $291.39	Professional		$135.50	$135.50	$291.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $332.79 / $632.29	Professional		$306.17	$332.79	$632.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $190.15 / $211.21	Professional		$190.15	$190.15	$211.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $448.53	Facility		$115.90	$115.90	$448.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $133.16 / $209.81	Professional		$115.26	$133.16	$209.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $225.40 / $655.60	Professional		$205.80	$225.40	$655.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $331.03	Facility		$185.61	$185.61	$331.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $332.63	Professional		$135.50	$135.50	$332.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $201.33 / $268.04 / $268.04	Facility		$201.33	$268.04	$268.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $268.04 / $316.75	Professional		$201.33	$268.04	$316.75
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $141.07 / $234.15	Professional		$104.36	$141.07	$234.15