Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.58 / $227.58 / $880.74	Facility		$227.58	$227.58	$880.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $236.98 / $279.14	Professional		$213.20	$236.98	$279.14
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 $388.04 / $509.60 / $509.60	Professional		$388.04	$509.60	$509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $579.75	Facility		$274.54	$274.54	$579.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $559.13	Professional		$200.41	$200.41	$559.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $533.75 / $580.16 / $1,102.30	Professional		$533.75	$580.16	$1,102.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.20 / $382.20 / $382.20	Professional		$382.20	$382.20	$382.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $227.58 / $227.58 / $880.74	Facility		$227.58	$227.58	$880.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $240.96 / $414.20	Professional		$213.20	$240.96	$414.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $719.30 / $827.20 / $1,143.00	Professional		$719.30	$827.20	$1,143.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $579.75	Facility		$274.54	$274.54	$579.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $559.13	Professional		$200.41	$200.41	$559.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $243.53 / $243.53 / $485.05	Facility		$243.53	$243.53	$485.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $485.05 / $552.21	Professional		$243.53	$485.05	$552.21
United Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $275.42 / $423.73	Professional		$229.79	$275.42	$423.73