Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $309.18 / $4,166.43	Facility		$142.63	$309.18	$4,166.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.18 / $361.80 / $559.61	Professional		$309.18	$361.80	$559.61
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 $572.04 / $751.25 / $751.25	Professional		$572.04	$751.25	$751.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $824.70	Facility		$488.53	$488.53	$824.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $722.13	Professional		$356.63	$356.63	$722.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.72 / $824.70 / $1,566.93	Professional		$758.72	$824.70	$1,566.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $358.26 / $1,055.00	Facility		$197.00	$358.26	$1,055.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.29 / $525.88 / $788.82	Professional		$507.29	$525.88	$788.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $469.95 / $4,166.43	Facility		$142.63	$469.95	$4,166.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.18 / $401.02 / $1,027.51	Professional		$309.18	$401.02	$1,027.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.10 / $387.80 / $1,624.80	Professional		$295.10	$387.80	$1,624.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $824.70	Facility		$488.53	$488.53	$824.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $951.38	Professional		$356.63	$356.63	$951.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.12 / $715.05 / $715.05	Facility		$537.12	$715.05	$715.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.12 / $715.05 / $784.96	Professional		$537.12	$715.05	$784.96
United Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $393.90 / $687.52	Professional		$324.83	$393.90	$687.52