Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $515.33	Facility		$133.16	$133.16	$515.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $153.88 / $220.19	Professional		$133.16	$153.88	$220.19
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 $246.38 / $323.57 / $323.57	Professional		$246.38	$323.57	$323.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $393.23	Facility		$268.08	$268.08	$393.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $344.32	Professional		$195.70	$195.70	$344.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $393.23 / $747.14	Professional		$361.77	$393.23	$747.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.68 / $242.68 / $242.68	Professional		$242.68	$242.68	$242.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $515.33	Facility		$133.16	$133.16	$515.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $153.88 / $247.91	Professional		$133.16	$153.88	$247.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $536.29 / $774.70	Professional		$266.30	$536.29	$774.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $393.23	Facility		$268.08	$268.08	$393.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $475.13	Professional		$195.70	$195.70	$475.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $231.33 / $307.97 / $307.97	Facility		$231.33	$307.97	$307.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $231.33 / $307.97 / $390.20	Professional		$231.33	$307.97	$390.20
United Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $163.04 / $291.79	Professional		$145.90	$163.04	$291.79