Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $719.61 / $1,180.97	Facility		$155.78	$719.61	$1,180.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $149.75 / $622.00	Professional		$113.44	$149.75	$622.00
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 $220.72 / $289.86 / $289.86	Professional		$220.72	$289.86	$289.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $289.86	Facility		$175.00	$175.00	$289.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $253.82	Professional		$127.75	$127.75	$253.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.67 / $289.86 / $550.73	Professional		$266.67	$289.86	$550.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.18 / $668.00 / $1,326.78	Facility		$406.18	$668.00	$1,326.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $202.90 / $304.36	Professional		$195.73	$202.90	$304.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $719.61 / $753.64	Facility		$155.78	$719.61	$753.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $159.34 / $622.00	Professional		$119.30	$159.34	$622.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $132.69 / $469.60	Professional		$101.00	$132.69	$469.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $289.86	Facility		$175.00	$175.00	$289.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $344.25	Professional		$127.75	$127.75	$344.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.94 / $275.89 / $275.89	Facility		$185.94	$275.89	$275.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $275.89 / $282.64	Professional		$185.94	$275.89	$282.64
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $353.74 / $424.49	Facility		$300.68	$353.74	$424.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $145.22 / $241.02	Professional		$110.93	$145.22	$241.02