Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.70 / $1,149.00 / $3,480.36	Facility		$123.70	$1,149.00	$3,480.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $123.71 / $163.92	Professional		$101.02	$123.71	$163.92
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 $199.22 / $261.63 / $261.63	Professional		$199.22	$261.63	$261.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $258.13	Facility		$195.78	$195.78	$258.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $287.25	Professional		$166.41	$166.41	$287.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $237.48 / $258.13 / $490.45	Professional		$237.48	$258.13	$490.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,625.68 / $1,956.88	Facility		$1,150.00	$1,625.68	$1,956.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $226.38 / $1,846.50 / $4,312.50	Facility		$226.38	$1,846.50	$4,312.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $142.53 / $347.01	Professional		$101.02	$142.53	$347.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $113.30 / $508.60	Professional		$86.20	$113.30	$508.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $258.13	Facility		$195.78	$195.78	$258.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $287.25	Professional		$166.41	$166.41	$287.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $180.93 / $180.93 / $249.03	Facility		$180.93	$180.93	$249.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $245.69 / $249.03	Professional		$180.93	$245.69	$249.03
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $147.47 / $235.94	Professional		$118.40	$147.47	$235.94