Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $305.20 / $1,181.16	Facility		$305.20	$305.20	$1,181.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $318.75 / $377.64	Professional		$223.95	$318.75	$377.64
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 $520.41 / $683.45 / $683.45	Professional		$520.41	$683.45	$683.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $572.26	Facility		$493.58	$493.58	$572.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $526.19	Professional		$360.31	$360.31	$526.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $526.48 / $572.26 / $1,087.29	Professional		$526.48	$572.26	$1,087.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.49 / $461.49 / $461.49	Professional		$461.49	$461.49	$461.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $305.20 / $305.20 / $1,181.16	Facility		$305.20	$305.20	$1,181.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $323.16 / $555.48	Professional		$223.95	$323.16	$555.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $780.50 / $1,127.50	Professional		$387.50	$780.50	$1,127.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $572.26	Facility		$493.58	$493.58	$572.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $884.63	Professional		$360.31	$360.31	$884.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $326.57 / $326.57 / $650.52	Facility		$326.57	$326.57	$650.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $326.57 / $650.52 / $663.53	Professional		$326.57	$650.52	$663.53
United Facility/Professional Facility Modifier Low / Median / High Price $648.55 / $763.01 / $915.61	Facility		$648.55	$763.01	$915.61
United Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $378.87 / $568.27	Professional		$285.49	$378.87	$568.27