Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $170.16 / $658.52	Facility		$170.16	$170.16	$658.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $195.50 / $261.29	Professional		$169.22	$195.50	$261.29
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 $314.83 / $413.46 / $413.46	Professional		$314.83	$413.46	$413.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $464.11	Facility		$273.20	$273.20	$464.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $406.38	Professional		$199.44	$199.44	$406.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $464.11 / $881.81	Professional		$426.98	$464.11	$881.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.10 / $310.10 / $310.10	Professional		$310.10	$310.10	$310.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $170.16 / $658.52	Facility		$170.16	$170.16	$658.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $199.12 / $323.02	Professional		$169.22	$199.12	$323.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $314.30 / $604.20 / $914.40	Professional		$314.30	$604.20	$914.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $464.11	Facility		$273.20	$273.20	$464.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $564.00	Professional		$199.44	$199.44	$564.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.61 / $393.54 / $393.54	Facility		$295.61	$393.54	$393.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.61 / $393.54 / $463.04	Professional		$295.61	$393.54	$463.04
United Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $213.32 / $361.25	Professional		$170.90	$213.32	$361.25