Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $119.01 / $460.57	Facility		$119.01	$119.01	$460.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $126.01 / $183.02	Professional		$109.68	$126.01	$183.02
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 $202.93 / $266.50 / $266.50	Professional		$202.93	$266.50	$266.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $290.27	Facility		$166.52	$166.52	$290.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $254.19	Professional		$121.56	$121.56	$254.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $290.27 / $551.53	Professional		$267.06	$290.27	$551.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $179.95 / $199.88	Professional		$179.95	$179.95	$199.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $119.01 / $460.57	Facility		$119.01	$119.01	$460.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $126.01 / $216.60	Professional		$113.60	$126.01	$216.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $395.90 / $571.90	Professional		$196.60	$395.90	$571.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $290.27	Facility		$166.52	$166.52	$290.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $376.88	Professional		$121.56	$121.56	$376.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $127.35 / $253.66	Facility		$127.35	$127.35	$253.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $253.66 / $276.30	Professional		$127.35	$253.66	$276.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $148.47 / $221.59	Professional		$125.15	$148.47	$221.59