Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $856.14 / $3,968.43	Facility		$153.85	$856.14	$3,968.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $155.26 / $499.56	Professional		$89.01	$155.26	$499.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $950.40 / $1,359.00 / $5,044.89	Facility		$950.40	$1,359.00	$5,044.89
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $239.39 / $286.93	Professional		$147.66	$239.39	$286.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $146.27 / $243.34	Professional		$98.82	$146.27	$243.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $178.50 / $236.58	Professional		$9.60	$178.50	$236.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.86 / $798.85 / $1,567.88	Facility		$423.86	$798.85	$1,567.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $148.28 / $200.22	Professional		$138.19	$148.28	$200.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $153.85 / $1,016.88 / $4,761.00	Facility		$153.85	$1,016.88	$4,761.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $156.49 / $411.79	Professional		$91.36	$156.49	$411.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.00	Professional		$123.00	$123.00	$130.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $176.29 / $176.29 / $176.29	Facility		$176.29	$176.29	$176.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $151.58 / $273.27	Professional		$101.39	$151.58	$273.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $101.89 / $146.15	Facility		$84.77	$101.89	$146.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $120.86 / $157.31	Professional		$99.58	$120.86	$157.31
United Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $674.00 / $4,300.00	Facility		$144.00	$674.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $155.55 / $267.31	Professional		$117.21	$155.55	$267.31