Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.17 / $309.17 / $1,196.49	Facility		$309.17	$309.17	$1,196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.73 / $327.35 / $444.20	Professional		$275.73	$327.35	$444.20
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 $527.16 / $692.31 / $692.31	Professional		$527.16	$692.31	$692.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $704.57	Facility		$432.60	$432.60	$704.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $616.95	Professional		$315.80	$315.80	$616.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $648.20 / $704.57 / $1,338.68	Professional		$648.20	$704.57	$1,338.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.48 / $467.48 / $467.48	Professional		$467.48	$467.48	$467.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.17 / $309.17 / $1,196.49	Facility		$309.17	$309.17	$1,196.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.73 / $327.35 / $467.85	Professional		$275.73	$327.35	$467.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $477.20 / $960.90 / $1,388.10	Professional		$477.20	$960.90	$1,388.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $704.57	Facility		$432.60	$432.60	$704.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $802.50	Professional		$315.80	$315.80	$802.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $330.83 / $330.83 / $658.95	Facility		$330.83	$330.83	$658.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $330.83 / $658.95 / $670.62	Professional		$330.83	$658.95	$670.62
United Facility/Professional Facility Modifier Low / Median / High Price $266.12 / $456.41 / $520.39	Facility		$266.12	$456.41	$520.39
United Facility/Professional Professional Modifier Low / Median / High Price $325.12 / $390.21 / $624.34	Professional		$325.12	$390.21	$624.34