Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $124.81 / $483.02	Facility		$124.81	$124.81	$483.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $138.09 / $156.66	Professional		$119.54	$138.09	$156.66
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 $230.92 / $303.26 / $303.26	Professional		$230.92	$303.26	$303.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $319.27	Facility		$170.96	$170.96	$319.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $329.25	Professional		$124.80	$124.80	$329.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $319.27 / $606.63	Professional		$293.74	$319.27	$606.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.45 / $227.45 / $227.45	Professional		$227.45	$227.45	$227.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $124.81 / $483.02	Facility		$124.81	$124.81	$483.02
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $143.40 / $201.30	Professional		$113.35	$143.40	$201.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $435.40 / $629.10	Professional		$216.30	$435.40	$629.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $319.27	Facility		$170.96	$170.96	$319.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $329.25	Professional		$124.80	$124.80	$329.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $288.64 / $288.64	Facility		$216.81	$288.64	$288.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $288.64 / $303.89	Professional		$216.81	$288.64	$303.89
United Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $151.54 / $253.33	Professional		$113.09	$151.54	$253.33