Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $294.39 / $1,139.33	Facility		$294.39	$294.39	$1,139.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $311.72 / $401.71	Professional		$263.18	$311.72	$401.71
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 $501.98 / $659.24 / $659.24	Professional		$501.98	$659.24	$659.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $672.49	Facility		$436.96	$436.96	$672.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $588.86	Professional		$318.98	$318.98	$588.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $618.69 / $672.49 / $1,277.73	Professional		$618.69	$672.49	$1,277.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $494.43 / $494.43	Professional		$494.43	$494.43	$494.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $294.39 / $1,139.33	Facility		$294.39	$294.39	$1,139.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $323.26 / $535.80	Professional		$263.18	$323.26	$535.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $833.80 / $958.90 / $1,324.90	Professional		$833.80	$958.90	$1,324.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $672.49	Facility		$436.96	$436.96	$672.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $783.00	Professional		$318.98	$318.98	$783.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $315.04 / $315.04 / $627.48	Facility		$315.04	$315.04	$627.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $627.48 / $640.09	Professional		$315.04	$627.48	$640.09
United Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $371.57 / $594.52	Professional		$302.95	$371.57	$594.52