Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $194.95 / $538.78	Facility		$82.73	$194.95	$538.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $96.81 / $134.04	Professional		$82.28	$96.81	$134.04
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 $153.07 / $201.02 / $201.02	Professional		$153.07	$201.02	$201.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $210.51	Facility		$125.61	$125.61	$210.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $265.13	Professional		$91.70	$91.70	$265.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.67 / $210.51 / $399.97	Professional		$193.67	$210.51	$399.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.07 / $853.42 / $1,012.79	Facility		$578.07	$853.42	$1,012.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $169.98 / $170.87	Professional		$140.71	$169.98	$170.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $194.95 / $538.78	Facility		$33.50	$194.95	$538.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $106.49 / $138.85	Professional		$82.38	$106.49	$138.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $261.00 / $341.00	Professional		$75.30	$261.00	$341.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $210.51	Facility		$125.61	$125.61	$210.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $265.13	Professional		$91.70	$91.70	$265.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $191.34 / $191.34	Facility		$133.81	$191.34	$191.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $191.34 / $217.61	Professional		$133.81	$191.34	$217.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $101.29 / $175.64	Professional		$77.27	$101.29	$175.64