Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.85 / $314.85 / $1,218.47	Facility		$314.85	$314.85	$1,218.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $333.37 / $430.40	Professional		$267.16	$333.37	$430.40
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 $536.85 / $705.03 / $705.03	Professional		$536.85	$705.03	$705.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $682.68	Facility		$394.91	$394.91	$682.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $597.78	Professional		$288.27	$288.27	$597.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $628.07 / $682.68 / $1,297.08	Professional		$628.07	$682.68	$1,297.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.08 / $476.08 / $476.08	Professional		$476.08	$476.08	$476.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $314.85 / $314.85 / $1,218.47	Facility		$314.85	$314.85	$1,218.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $333.37 / $533.34	Professional		$267.16	$333.37	$533.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $931.10 / $1,345.00	Professional		$462.30	$931.10	$1,345.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $682.68	Facility		$394.91	$394.91	$682.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $875.25	Professional		$288.27	$288.27	$875.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $487.53 / $671.06	Facility		$487.53	$487.53	$671.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $487.53 / $671.06 / $684.48	Professional		$487.53	$671.06	$684.48
United Facility/Professional Professional Modifier Low / Median / High Price $317.89 / $416.64 / $586.22	Professional		$317.89	$416.64	$586.22