Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $127.18 / $492.19	Facility		$127.18	$127.18	$492.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $148.83 / $198.92	Professional		$105.20	$148.83	$198.92
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 $235.31 / $309.02 / $309.02	Professional		$235.31	$309.02	$309.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $309.02	Facility		$176.75	$176.75	$309.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $270.60	Professional		$129.03	$129.03	$270.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.31 / $309.02 / $587.16	Professional		$284.31	$309.02	$587.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $208.68 / $236.79	Professional		$208.68	$208.68	$236.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $127.18 / $492.19	Facility		$127.18	$127.18	$492.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $165.76 / $422.67	Professional		$91.10	$165.76	$422.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $141.50 / $608.90	Professional		$107.70	$141.50	$608.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $309.02	Facility		$176.75	$176.75	$309.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $367.13	Professional		$129.03	$129.03	$367.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $220.95 / $294.14 / $294.14	Facility		$220.95	$294.14	$294.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $294.14 / $301.38	Professional		$220.95	$294.14	$301.38
United Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $154.83 / $270.01	Professional		$116.91	$154.83	$270.01