Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.76 / $165.76 / $641.49	Facility		$165.76	$165.76	$641.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $165.76 / $212.44	Professional		$131.86	$165.76	$212.44
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 $282.64 / $371.19 / $371.19	Professional		$282.64	$371.19	$371.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $336.96	Facility		$203.51	$203.51	$336.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $295.05	Professional		$148.56	$148.56	$295.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $336.96 / $640.22	Professional		$310.00	$336.96	$640.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $250.64 / $250.64	Professional		$250.64	$250.64	$250.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.76 / $165.76 / $641.49	Facility		$165.76	$165.76	$641.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $174.92 / $301.68	Professional		$131.86	$174.92	$301.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.20 / $459.60 / $663.90	Professional		$228.20	$459.60	$663.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $336.96	Facility		$203.51	$203.51	$336.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $377.63	Professional		$148.56	$148.56	$377.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $256.69 / $256.69 / $353.30	Facility		$256.69	$256.69	$353.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $320.72 / $353.30	Professional		$256.69	$320.72	$353.30
United Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $214.70 / $325.69	Professional		$167.36	$214.70	$325.69