Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.66 / $287.66 / $1,113.24	Facility		$287.66	$287.66	$1,113.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $293.26 / $356.38	Professional		$257.50	$293.26	$356.38
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 $490.49 / $644.15 / $644.15	Professional		$490.49	$644.15	$644.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $682.43	Facility		$329.53	$329.53	$682.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $611.25	Professional		$240.56	$240.56	$611.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $703.15 / $1,335.99	Professional		$646.90	$703.15	$1,335.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $459.04 / $459.04	Professional		$450.91	$459.04	$459.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $287.66 / $287.66 / $1,113.24	Facility		$287.66	$287.66	$1,113.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $304.58 / $503.24	Professional		$258.39	$304.58	$503.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.20 / $959.00 / $1,385.30	Professional		$476.20	$959.00	$1,385.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $682.43	Facility		$329.53	$329.53	$682.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $611.25	Professional		$240.56	$240.56	$611.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $307.82 / $307.82 / $613.11	Facility		$307.82	$307.82	$613.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $307.82 / $613.11 / $669.27	Professional		$307.82	$613.11	$669.27
United Facility/Professional Professional Modifier Low / Median / High Price $290.45 / $350.79 / $580.90	Professional		$290.45	$350.79	$580.90