Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $303.00 / $1,172.60	Facility		$303.00	$303.00	$1,172.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $320.82 / $427.77	Professional		$265.52	$320.82	$427.77
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 $516.64 / $678.50 / $678.50	Professional		$516.64	$678.50	$678.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $678.50	Facility		$472.30	$472.30	$678.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $594.12	Professional		$344.78	$344.78	$594.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $624.22 / $678.50 / $1,289.15	Professional		$624.22	$678.50	$1,289.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.15 / $458.15 / $458.15	Professional		$458.15	$458.15	$458.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $303.00 / $1,172.60	Facility		$303.00	$303.00	$1,172.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $265.51 / $320.82 / $551.46	Professional		$265.51	$320.82	$551.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $459.60 / $925.40 / $1,336.80	Professional		$459.60	$925.40	$1,336.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $678.50	Facility		$472.30	$472.30	$678.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $826.50	Professional		$344.78	$344.78	$826.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $327.31 / $327.31 / $645.79	Facility		$327.31	$327.31	$645.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $327.31 / $645.79 / $658.72	Professional		$327.31	$645.79	$658.72
United Facility/Professional Professional Modifier Low / Median / High Price $317.35 / $407.10 / $611.87	Professional		$317.35	$407.10	$611.87