Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $193.77 / $749.89	Facility		$193.77	$193.77	$749.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $205.17 / $264.42	Professional		$169.81	$205.17	$264.42
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 $330.39 / $433.90 / $433.90	Professional		$330.39	$433.90	$433.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $433.90	Facility		$286.80	$286.80	$433.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $515.25	Professional		$209.36	$209.36	$515.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.19 / $433.90 / $824.41	Professional		$399.19	$433.90	$824.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $293.00 / $293.00	Professional		$293.00	$293.00	$293.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $193.77 / $749.89	Facility		$193.77	$193.77	$749.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $205.17 / $298.95	Professional		$169.81	$205.17	$298.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $591.79 / $854.90	Professional		$223.10	$591.79	$854.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $433.90	Facility		$286.80	$286.80	$433.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $520.40	Professional		$209.36	$209.36	$520.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $310.23 / $412.99 / $412.99	Facility		$310.23	$412.99	$412.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $412.99 / $423.17	Professional		$310.23	$412.99	$423.17
United Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $234.51 / $391.31	Professional		$195.65	$234.51	$391.31