Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $169.60 / $656.35	Facility		$169.60	$169.60	$656.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $179.58 / $218.75	Professional		$139.22	$179.58	$218.75
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 $289.18 / $379.78 / $379.78	Professional		$289.18	$379.78	$379.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $355.75	Facility		$271.68	$271.68	$355.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $311.51	Professional		$198.33	$198.33	$311.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $327.29 / $355.75 / $675.93	Professional		$327.29	$355.75	$675.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $284.83 / $284.83	Professional		$256.45	$284.83	$284.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $169.60 / $656.35	Facility		$169.60	$169.60	$656.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $179.58 / $308.67	Professional		$139.21	$179.58	$308.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $485.20 / $700.90	Professional		$240.90	$485.20	$700.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $355.75	Facility		$271.68	$271.68	$355.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $467.63	Professional		$198.33	$198.33	$467.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $262.62 / $262.62 / $361.48	Facility		$262.62	$262.62	$361.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $262.62 / $361.48 / $368.71	Professional		$262.62	$361.48	$368.71
United Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $205.89 / $315.77	Professional		$171.25	$205.89	$315.77