Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $397.59 / $6,198.49	Facility		$215.60	$397.59	$6,198.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $256.36 / $563.05	Professional		$126.23	$256.36	$563.05
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 $323.08 / $335.27 / $335.27	Professional		$323.08	$335.27	$335.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $237.21	Facility		$237.21	$237.21	$237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $260.92 / $514.41	Professional		$137.35	$260.92	$514.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.33 / $526.99 / $679.38	Professional		$393.33	$526.99	$679.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.26 / $536.08 / $952.78	Facility		$275.26	$536.08	$952.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $271.86 / $365.00	Professional		$150.66	$271.86	$365.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $238.61 / $1,013.00 / $8,017.00	Facility		$238.61	$1,013.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $285.88 / $675.98	Professional		$132.66	$285.88	$675.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $246.80 / $756.90	Professional		$241.30	$246.80	$756.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $237.21	Facility		$237.21	$237.21	$237.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $139.62 / $272.49 / $525.94	Professional		$139.62	$272.49	$525.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $197.68 / $333.13	Facility		$137.72	$197.68	$333.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $257.26 / $362.08	Professional		$137.47	$257.26	$362.08
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.70 / $339.63 / $590.75	Professional		$244.70	$339.63	$590.75