Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $194.23 / $751.67	Facility		$194.23	$194.23	$751.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $205.66 / $274.20	Professional		$170.21	$205.66	$274.20
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 $331.18 / $434.94 / $434.94	Professional		$331.18	$434.94	$434.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $434.94	Facility		$271.77	$271.77	$434.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $380.85	Professional		$198.39	$198.39	$380.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $434.94 / $826.39	Professional		$400.14	$434.94	$826.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.69 / $293.69 / $293.69	Professional		$293.69	$293.69	$293.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.23 / $194.23 / $751.67	Facility		$194.23	$194.23	$751.67
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.21 / $212.37 / $353.50	Professional		$170.21	$212.37	$353.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.60 / $593.20 / $856.90	Professional		$294.60	$593.20	$856.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $434.94	Facility		$271.77	$271.77	$434.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $504.38	Professional		$198.39	$198.39	$504.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $207.83 / $413.98	Facility		$207.83	$207.83	$413.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $413.98 / $413.98	Professional		$207.83	$413.98	$413.98
United Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $242.30 / $361.64	Professional		$196.11	$242.30	$361.64