Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.94 / $570.61 / $3,839.00	Facility		$246.94	$570.61	$3,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $251.06 / $754.25	Professional		$151.44	$251.06	$754.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $273.76 / $284.08 / $424.10	Professional		$273.76	$284.08	$424.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $264.39 / $443.40	Professional		$162.40	$264.39	$443.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.68 / $425.16 / $438.30	Professional		$330.68	$425.16	$438.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $703.05 / $1,347.42	Facility		$321.00	$703.05	$1,347.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $271.57 / $306.45	Professional		$217.25	$271.57	$306.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $264.43 / $1,020.00 / $5,627.00	Facility		$264.43	$1,020.00	$5,627.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $272.37 / $754.25	Professional		$156.22	$272.37	$754.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $230.70 / $397.21	Professional		$158.41	$230.70	$397.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $283.88 / $283.88	Facility		$283.88	$283.88	$283.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $166.33 / $266.70 / $483.63	Professional		$166.33	$266.70	$483.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $167.68 / $275.02	Facility		$164.36	$167.68	$275.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $243.31 / $295.89	Professional		$164.25	$243.31	$295.89
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 $226.89 / $293.62 / $527.02	Professional		$226.89	$293.62	$527.02