Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $266.61 / $1,031.78	Facility		$266.61	$266.61	$1,031.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.63 / $282.30 / $416.72	Professional		$233.63	$282.30	$416.72
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 $454.60 / $597.02 / $597.02	Professional		$454.60	$597.02	$597.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $597.02	Facility		$386.20	$386.20	$597.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $692.25	Professional		$281.93	$281.93	$692.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $597.02 / $1,134.33	Professional		$549.26	$597.02	$1,134.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $266.61 / $1,031.78	Facility		$266.61	$266.61	$1,031.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $233.62 / $282.30 / $513.69	Professional		$233.62	$282.30	$513.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $740.20 / $851.30 / $1,176.20	Professional		$740.20	$851.30	$1,176.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $597.02	Facility		$386.20	$386.20	$597.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $699.17	Professional		$281.93	$281.93	$699.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.84 / $568.25 / $568.25	Facility		$426.84	$568.25	$568.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $568.25 / $568.25	Professional		$426.84	$568.25	$568.25
United Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $349.82 / $538.39	Professional		$279.24	$349.82	$538.39