Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.67 / $206.67 / $799.81	Facility		$206.67	$206.67	$799.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $237.45 / $374.07	Professional		$205.53	$237.45	$374.07
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 $382.38 / $502.18 / $502.18	Professional		$382.38	$502.18	$502.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $598.89	Facility		$313.79	$313.79	$598.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $524.41	Professional		$229.07	$229.07	$524.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $550.98 / $598.89 / $1,137.89	Professional		$550.98	$598.89	$1,137.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $339.09 / $357.87	Professional		$339.09	$339.09	$357.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $206.67 / $206.67 / $799.81	Facility		$206.67	$206.67	$799.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $205.53 / $241.85 / $764.76	Professional		$205.53	$241.85	$764.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $405.60 / $1,179.90	Professional		$240.80	$405.60	$1,179.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $598.89	Facility		$313.79	$313.79	$598.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $652.88	Professional		$229.07	$229.07	$652.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $347.26 / $477.98 / $477.98	Facility		$347.26	$477.98	$477.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $477.98 / $570.03	Professional		$347.26	$477.98	$570.03
United Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $253.04 / $438.76	Professional		$208.78	$253.04	$438.76