Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $187.62 / $198.66	Facility		$187.62	$187.62	$198.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $198.66 / $326.66	Professional		$164.42	$198.66	$326.66
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 $319.92 / $420.15 / $420.15	Professional		$319.92	$420.15	$420.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $420.15	Facility		$373.38	$373.38	$420.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $487.13	Professional		$317.37	$317.37	$487.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.54 / $420.15 / $798.29	Professional		$386.54	$420.15	$798.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,593.73 / $2,593.73 / $2,593.73	Facility		$2,593.73	$2,593.73	$2,593.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $198.65 / $1,097.30	Facility		$187.62	$198.65	$1,097.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $205.02 / $912.60	Professional		$164.42	$205.02	$912.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $573.00 / $827.80	Professional		$284.50	$573.00	$827.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $420.15	Facility		$373.38	$373.38	$420.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $487.13	Professional		$317.37	$317.37	$487.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $290.52 / $399.90	Facility		$290.52	$290.52	$399.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $290.52 / $399.90 / $399.90	Professional		$290.52	$399.90	$399.90
United Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $249.32 / $378.89	Professional		$197.30	$249.32	$378.89