Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.48 / $278.48 / $1,077.72	Facility		$278.48	$278.48	$1,077.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.04 / $304.49 / $397.68	Professional		$244.04	$304.49	$397.68
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 $474.83 / $623.59 / $623.59	Professional		$474.83	$623.59	$623.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $623.59	Facility		$389.66	$389.66	$623.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $546.03	Professional		$284.45	$284.45	$546.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $573.70 / $623.59 / $1,184.82	Professional		$573.70	$623.59	$1,184.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.08 / $421.08 / $421.08	Professional		$421.08	$421.08	$421.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $278.48 / $278.48 / $1,077.72	Facility		$278.48	$278.48	$1,077.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $304.49 / $506.83	Professional		$244.03	$304.49	$506.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $850.50 / $1,228.59	Professional		$422.30	$850.50	$1,228.59
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $623.59	Facility		$389.66	$389.66	$623.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $284.45 / $723.00	Professional		$284.45	$284.45	$723.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $297.99 / $297.99 / $593.54	Facility		$297.99	$297.99	$593.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $593.54 / $593.54	Professional		$297.99	$593.54	$593.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $338.06 / $544.84	Professional		$281.18	$338.06	$544.84