Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $92.94 / $359.68	Facility		$92.94	$92.94	$359.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $108.76 / $141.12	Professional		$92.94	$108.76	$141.12
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 $171.96 / $225.84 / $225.84	Professional		$171.96	$225.84	$225.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $301.11	Facility		$141.12	$141.12	$301.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $261.75	Professional		$103.02	$103.02	$261.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $301.11 / $572.11	Professional		$277.02	$301.11	$572.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $169.38 / $169.38	Professional		$169.38	$169.38	$169.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.94 / $92.94 / $359.68	Facility		$92.94	$92.94	$359.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $108.76 / $189.84	Professional		$92.94	$108.76	$189.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $203.90 / $410.70 / $593.29	Professional		$203.90	$410.70	$593.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $301.11	Facility		$141.12	$141.12	$301.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $261.75	Professional		$103.02	$103.02	$261.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $214.95 / $214.95	Facility		$161.47	$214.95	$214.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $214.95 / $286.61	Professional		$161.47	$214.95	$286.61
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $113.79 / $197.32	Professional		$93.25	$113.79	$197.32