Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.65 / $216.65 / $838.44	Facility		$216.65	$216.65	$838.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $229.40 / $295.58	Professional		$189.85	$229.40	$295.58
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 $369.42 / $485.15 / $485.15	Professional		$369.42	$485.15	$485.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $485.15	Facility		$321.50	$321.50	$485.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $576.38	Professional		$234.70	$234.70	$576.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.34 / $485.15 / $921.79	Professional		$446.34	$485.15	$921.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.58 / $327.58 / $327.58	Professional		$327.58	$327.58	$327.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $216.65 / $216.65 / $838.44	Facility		$216.65	$216.65	$838.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $229.40 / $334.25	Professional		$189.85	$229.40	$334.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $601.50 / $691.70 / $955.80	Professional		$601.50	$691.70	$955.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $485.15	Facility		$321.50	$321.50	$485.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $582.14	Professional		$234.70	$234.70	$582.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $346.85 / $461.77 / $461.77	Facility		$346.85	$461.77	$461.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $461.77 / $473.08	Professional		$346.85	$461.77	$473.08
United Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $291.08 / $437.50	Professional		$221.52	$291.08	$437.50