Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.05 / $315.05 / $1,219.24	Facility		$315.05	$315.05	$1,219.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $333.59 / $492.43	Professional		$276.08	$333.59	$492.43
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 $537.20 / $705.49 / $705.49	Professional		$537.20	$705.49	$705.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $705.49	Facility		$448.56	$448.56	$705.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $617.75	Professional		$327.45	$327.45	$617.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $705.49 / $1,340.43	Professional		$649.04	$705.49	$1,340.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.38 / $476.38 / $476.38	Professional		$476.38	$476.38	$476.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $315.05 / $315.05 / $1,219.24	Facility		$315.05	$315.05	$1,219.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $333.59 / $573.39	Professional		$276.08	$333.59	$573.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.90 / $962.20 / $1,389.90	Professional		$477.90	$962.20	$1,389.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $705.49	Facility		$448.56	$448.56	$705.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $327.45 / $817.88	Professional		$327.45	$327.45	$817.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $487.86 / $487.86 / $671.50	Facility		$487.86	$487.86	$671.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $487.86 / $671.50 / $671.50	Professional		$487.86	$671.50	$671.50
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $331.30 / $413.37 / $636.22	Professional		$331.30	$413.37	$636.22