Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $95.40 / $369.20	Facility		$95.40	$95.40	$369.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $111.63 / $153.13	Professional		$95.40	$111.63	$153.13
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 $176.50 / $231.80 / $231.80	Professional		$176.50	$231.80	$231.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $277.45	Facility		$144.84	$144.84	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $269.63	Professional		$105.73	$105.73	$269.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.25 / $277.45 / $527.16	Professional		$255.25	$277.45	$527.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $156.52 / $173.85	Professional		$156.52	$156.52	$173.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $95.40 / $369.20	Facility		$95.40	$95.40	$369.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $111.63 / $158.04	Professional		$94.87	$111.63	$158.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $187.90 / $546.60	Professional		$99.30	$187.90	$546.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $277.45	Facility		$144.84	$144.84	$277.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $269.63	Professional		$105.73	$105.73	$269.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $220.63 / $220.63	Facility		$165.73	$220.63	$220.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $220.63 / $264.08	Professional		$165.73	$220.63	$264.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $117.67 / $209.04	Professional		$98.01	$117.67	$209.04