Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.81 / $358.81 / $1,388.59	Facility		$358.81	$358.81	$1,388.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $379.91 / $461.84	Professional		$286.67	$379.91	$461.84
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 $611.79 / $803.46 / $803.46	Professional		$611.79	$803.46	$803.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $732.55	Facility		$456.40	$456.40	$732.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $641.44	Professional		$333.17	$333.17	$641.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $673.95 / $732.55 / $1,391.85	Professional		$673.95	$732.55	$1,391.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.53 / $542.53 / $602.60	Professional		$542.53	$542.53	$602.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $358.81 / $358.81 / $1,388.59	Facility		$358.81	$358.81	$1,388.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $379.91 / $653.03	Professional		$286.67	$379.91	$653.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $496.10 / $999.10 / $1,443.20	Professional		$496.10	$999.10	$1,443.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $732.55	Facility		$456.40	$456.40	$732.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $333.17 / $911.63	Professional		$333.17	$333.17	$911.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $555.59 / $555.59 / $764.75	Facility		$555.59	$555.59	$764.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $555.59 / $748.35 / $764.75	Professional		$555.59	$748.35	$764.75
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $447.60 / $702.00	Professional		$364.39	$447.60	$702.00