Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $229.27	Facility		$140.97	$140.97	$229.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $195.03 / $332.26	Professional		$125.71	$195.03	$332.26
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 $230.09 / $238.78 / $400.19	Professional		$230.09	$238.78	$400.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $234.64 / $234.64	Facility		$234.64	$234.64	$234.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $222.38 / $398.93	Professional		$137.57	$222.38	$398.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $374.46 / $479.85	Professional		$277.81	$374.46	$479.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $229.27	Facility		$140.97	$140.97	$229.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $212.18 / $472.30	Professional		$132.40	$212.18	$472.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $175.80 / $483.70	Professional		$175.80	$175.80	$483.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $234.64 / $234.64	Facility		$234.64	$234.64	$234.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $225.87 / $407.03	Professional		$138.36	$225.87	$407.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.85 / $133.34 / $216.81	Facility		$123.85	$133.34	$216.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $187.34 / $233.54	Professional		$129.37	$187.34	$233.54
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 $175.97 / $254.00 / $412.51	Professional		$175.97	$254.00	$412.51