Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $180.58 / $191.20	Facility		$180.58	$180.58	$191.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $191.20 / $266.85	Professional		$158.24	$191.20	$266.85
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 $307.89 / $404.37 / $404.37	Professional		$307.89	$404.37	$404.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $404.37	Facility		$252.68	$252.68	$404.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $625.13	Professional		$194.10	$194.10	$625.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $372.02 / $404.37 / $768.30	Professional		$372.02	$404.37	$768.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,496.42 / $2,496.42 / $2,496.42	Facility		$2,496.42	$2,496.42	$2,496.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $191.19 / $4,021.50	Facility		$180.58	$191.19	$4,021.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $191.20 / $300.97	Professional		$158.24	$191.20	$300.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $551.50 / $796.70	Professional		$273.89	$551.50	$796.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $404.37	Facility		$252.68	$252.68	$404.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $625.13	Professional		$194.10	$194.10	$625.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $279.62 / $384.88	Facility		$279.62	$279.62	$384.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $279.62 / $384.88 / $392.58	Professional		$279.62	$384.88	$392.58
United Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $225.27 / $364.66	Professional		$189.13	$225.27	$364.66