Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.10 / $134.10 / $518.97	Facility		$134.10	$134.10	$518.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $134.10 / $181.47	Professional		$105.78	$134.10	$181.47
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 $228.66 / $300.29 / $300.29	Professional		$228.66	$300.29	$300.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $287.83	Facility		$108.00	$170.64	$287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $252.04	Professional		$124.57	$124.57	$252.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $287.83 / $546.90	Professional		$264.81	$287.83	$546.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $206.49 / $225.22	Professional		$202.77	$206.49	$225.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.10 / $134.10 / $518.97	Facility		$134.10	$134.10	$518.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $147.25 / $210.00	Professional		$109.84	$147.25	$210.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,188.08 / $3,188.08 / $3,188.08	Facility		$3,188.08	$3,188.08	$3,188.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.90 / $374.70 / $567.10	Professional		$194.90	$374.70	$567.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $287.83	Facility		$108.00	$170.64	$287.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $316.50	Professional		$124.57	$124.57	$316.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.49 / $143.49 / $285.82	Facility		$143.49	$143.49	$285.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.49 / $273.97 / $285.82	Professional		$143.49	$273.97	$285.82
United Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $162.29 / $262.36	Professional		$122.23	$162.29	$262.36