Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $161.27 / $624.12	Facility		$161.27	$161.27	$624.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $170.76 / $220.06	Professional		$141.33	$170.76	$220.06
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 $274.98 / $361.13 / $361.13	Professional		$274.98	$361.13	$361.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $361.13	Facility		$239.35	$239.35	$361.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $429.00	Professional		$174.73	$174.73	$429.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.24 / $361.13 / $686.15	Professional		$332.24	$361.13	$686.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.86 / $243.86 / $243.86	Professional		$243.86	$243.86	$243.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $161.27 / $161.27 / $624.12	Facility		$161.27	$161.27	$624.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $170.76 / $248.81	Professional		$141.33	$170.76	$248.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $492.50 / $711.50	Professional		$185.70	$492.50	$711.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $361.13	Facility		$239.35	$239.35	$361.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $433.29	Professional		$174.73	$174.73	$433.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $343.73 / $343.73	Facility		$258.20	$343.73	$343.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $343.73 / $352.16	Professional		$258.20	$343.73	$352.16
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $216.68 / $300.27	Professional		$164.90	$216.68	$300.27