Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $180.10 / $696.99	Facility		$180.10	$180.10	$696.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.82 / $190.69 / $279.39	Professional		$157.82	$190.69	$279.39
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 $307.08 / $403.29 / $403.29	Professional		$307.08	$403.29	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $403.29	Facility		$260.88	$260.88	$403.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $353.13	Professional		$190.44	$190.44	$353.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.03 / $403.29 / $766.25	Professional		$371.03	$403.29	$766.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.32 / $282.30 / $287.39	Professional		$272.32	$282.30	$287.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $180.10 / $696.99	Facility		$180.10	$180.10	$696.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $157.81 / $190.69 / $327.78	Professional		$157.81	$190.69	$327.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $550.00 / $794.50	Professional		$273.10	$550.00	$794.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $403.29	Facility		$260.88	$260.88	$403.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $467.63	Professional		$190.44	$190.44	$467.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $192.71 / $192.71 / $383.86	Facility		$192.71	$192.71	$383.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $383.86 / $383.86	Professional		$192.71	$383.86	$383.86
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $241.97 / $352.36	Professional		$189.38	$241.97	$352.36