Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.68 / $233.68 / $904.34	Facility		$233.68	$233.68	$904.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $247.43 / $333.71	Professional		$204.78	$247.43	$333.71
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 $398.46 / $523.28 / $523.28	Professional		$398.46	$523.28	$523.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $523.28	Facility		$338.50	$338.50	$523.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $458.20	Professional		$247.11	$247.11	$458.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $481.42 / $523.28 / $994.23	Professional		$481.42	$523.28	$994.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.35 / $366.30 / $372.91	Professional		$353.35	$366.30	$372.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $233.68 / $233.68 / $904.34	Facility		$233.68	$233.68	$904.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.78 / $255.51 / $418.62	Professional		$204.78	$255.51	$418.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.30 / $713.70 / $1,031.00	Professional		$354.30	$713.70	$1,031.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $523.28	Facility		$338.50	$338.50	$523.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $606.75	Professional		$247.11	$247.11	$606.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $250.05 / $498.07	Facility		$250.05	$250.05	$498.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $250.05 / $498.07 / $498.07	Professional		$250.05	$498.07	$498.07
United Facility/Professional Professional Modifier Low / Median / High Price $244.75 / $313.97 / $471.90	Professional		$244.75	$313.97	$471.90