Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $142.44 / $551.24	Facility		$142.44	$142.44	$551.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $163.66 / $209.28	Professional		$135.44	$163.66	$209.28
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 $263.55 / $346.12 / $346.12	Professional		$263.55	$346.12	$346.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $346.12	Facility		$197.94	$197.94	$346.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $303.07	Professional		$144.50	$144.50	$303.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $318.43 / $346.12 / $657.63	Professional		$318.43	$346.12	$657.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $233.71 / $233.71	Professional		$233.71	$233.71	$233.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $142.44 / $551.24	Facility		$142.44	$142.44	$551.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $166.69 / $218.21	Professional		$135.44	$166.69	$218.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $429.10 / $564.86	Professional		$115.60	$429.10	$564.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $346.12	Facility		$197.94	$197.94	$346.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $411.00	Professional		$144.50	$144.50	$411.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $247.45 / $329.44 / $329.44	Facility		$247.45	$329.44	$329.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $329.44 / $337.52	Professional		$247.45	$329.44	$337.52
United Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $172.67 / $287.77	Professional		$132.46	$172.67	$287.77