Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $200.08 / $2,507.79	Facility		$200.08	$200.08	$2,507.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $234.14 / $425.71	Professional		$190.25	$234.14	$425.71
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 $370.20 / $486.17 / $486.17	Professional		$370.20	$486.17	$486.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $486.17	Facility		$278.04	$278.04	$486.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $425.71	Professional		$202.97	$202.97	$425.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $447.28 / $486.17 / $923.72	Professional		$447.28	$486.17	$923.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $108.25 / $700.00	Facility		$108.25	$108.25	$700.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.28 / $328.28 / $510.48	Professional		$328.28	$328.28	$510.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $1,234.43 / $2,507.79	Facility		$200.08	$1,234.43	$2,507.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $234.14 / $425.71	Professional		$190.25	$234.14	$425.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $228.60 / $957.80	Professional		$174.00	$228.60	$957.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $486.17	Facility		$278.04	$278.04	$486.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $577.50	Professional		$202.97	$202.97	$577.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $347.58 / $462.75 / $462.75	Facility		$347.58	$462.75	$462.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $347.58 / $462.75 / $474.07	Professional		$347.58	$462.75	$474.07
United Facility/Professional Facility Modifier Low / Median / High Price $171.04 / $220.01 / $290.45	Facility		$171.04	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $242.54 / $438.42	Professional		$184.99	$242.54	$438.42