Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $131.99 / $1,607.56	Facility		$119.30	$131.99	$1,607.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $139.60 / $207.14	Professional		$113.44	$139.60	$207.14
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 $176.58 / $176.58 / $289.86	Facility		$176.58	$176.58	$289.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $253.82	Professional		$128.90	$128.90	$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 $683.56 / $683.56 / $1,340.28	Facility		$683.56	$683.56	$1,340.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $217.40 / $304.36	Professional		$195.73	$217.40	$304.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $461.69 / $1,607.56	Facility		$119.30	$461.69	$1,607.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $155.46 / $461.69	Professional		$113.44	$155.46	$461.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $132.69 / $571.10	Professional		$101.00	$132.69	$571.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $289.86	Facility		$176.58	$176.58	$289.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $344.25	Professional		$128.90	$128.90	$344.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $207.24 / $275.89 / $275.89	Facility		$207.24	$275.89	$275.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.24 / $275.89 / $282.64	Professional		$207.24	$275.89	$282.64
United Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $144.61 / $253.26	Professional		$109.55	$144.61	$253.26