Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $274.14 / $1,060.96	Facility		$274.14	$274.14	$1,060.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $320.81 / $496.21	Professional		$274.14	$320.81	$496.21
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 $507.23 / $666.14 / $666.14	Professional		$507.23	$666.14	$666.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $825.57	Facility		$523.66	$523.66	$825.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $865.88	Professional		$382.28	$382.28	$865.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $832.61 / $1,581.96	Professional		$766.00	$832.61	$1,581.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,043.38 / $3,043.38 / $3,043.38	Facility		$3,043.38	$3,043.38	$3,043.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.81 / $520.42 / $549.57	Professional		$449.81	$520.42	$549.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $274.14 / $1,060.96	Facility		$274.14	$274.14	$1,060.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $325.82 / $633.99	Professional		$274.14	$325.82	$633.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $345.20 / $1,640.40	Professional		$265.30	$345.20	$1,640.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $825.57	Facility		$523.66	$523.66	$825.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $865.88	Professional		$382.28	$382.28	$865.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $460.65 / $634.04 / $634.04	Facility		$460.65	$634.04	$634.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $460.65 / $634.04 / $792.49	Professional		$460.65	$634.04	$792.49
United Facility/Professional Professional Modifier Low / Median / High Price $264.02 / $360.02 / $746.86	Professional		$264.02	$360.02	$746.86