Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $124.35 / $481.23	Facility		$124.35	$124.35	$481.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $132.52 / $195.43	Professional		$123.81	$132.52	$195.43
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 $212.03 / $278.45 / $278.45	Professional		$212.03	$278.45	$278.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $350.91	Facility		$177.64	$177.64	$350.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $307.27	Professional		$129.68	$129.68	$307.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.83 / $350.91 / $666.73	Professional		$322.83	$350.91	$666.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.04 / $188.04 / $188.04	Professional		$188.04	$188.04	$188.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $124.35 / $481.23	Facility		$124.35	$124.35	$481.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $136.54 / $207.26	Professional		$121.92	$136.54	$207.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $478.60 / $691.40	Professional		$237.60	$478.60	$691.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $350.91	Facility		$177.64	$177.64	$350.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $430.50	Professional		$129.68	$129.68	$430.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $133.08 / $265.04	Facility		$133.08	$133.08	$265.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $265.04 / $334.01	Professional		$133.08	$265.04	$334.01
United Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $167.08 / $251.12	Professional		$130.77	$167.08	$251.12