Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.53 / $165.53 / $640.60	Facility		$165.53	$165.53	$640.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $175.27 / $258.73	Professional		$145.06	$175.27	$258.73
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 $282.25 / $370.68 / $370.68	Professional		$282.25	$370.68	$370.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $370.68	Facility		$239.78	$239.78	$370.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $324.57	Professional		$175.04	$175.04	$324.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.03 / $370.68 / $704.29	Professional		$341.03	$370.68	$704.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.29 / $250.29 / $250.29	Professional		$250.29	$250.29	$250.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.53 / $165.53 / $640.60	Facility		$165.53	$165.53	$640.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $145.06 / $181.00 / $307.08	Professional		$145.06	$181.00	$307.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $505.50 / $730.30	Professional		$251.00	$505.50	$730.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $370.68	Facility		$239.78	$239.78	$370.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $429.75	Professional		$175.04	$175.04	$429.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.13 / $177.13 / $352.81	Facility		$177.13	$177.13	$352.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $352.81 / $352.81	Professional		$177.13	$352.81	$352.81
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $174.07 / $222.41 / $334.27	Professional		$174.07	$222.41	$334.27