Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.59 / $804.31 / $1,237.05	Facility		$239.59	$804.31	$1,237.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $239.59 / $1,901.93	Professional		$177.47	$239.59	$1,901.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,021.63 / $1,361.37 / $8,459.92	Facility		$1,021.63	$1,361.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $230.72 / $230.72 / $230.72	Professional		$230.72	$230.72	$230.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $436.79 / $981.20	Facility		$280.70	$436.79	$981.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $273.04 / $513.91	Professional		$136.27	$273.04	$513.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $399.32 / $562.00	Professional		$175.99	$399.32	$562.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.69 / $595.69 / $595.69	Facility		$595.69	$595.69	$595.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $804.31 / $1,221.60	Facility		$251.42	$804.31	$1,221.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $251.42 / $1,221.60	Professional		$201.14	$251.42	$1,221.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $437.77 / $443.69 / $591.58	Professional		$437.77	$443.69	$591.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $287.77 / $492.09 / $981.20	Facility		$287.77	$492.09	$981.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $274.23 / $515.87	Professional		$136.29	$274.23	$515.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $325.37	Facility		$295.79	$295.79	$325.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $325.37	Professional		$295.79	$295.79	$325.37
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $414.11	Professional		$124.23	$177.47	$414.11