Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.10 / $514.85 / $869.22	Facility		$123.10	$514.85	$869.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $118.77 / $931.32	Professional		$107.18	$118.77	$931.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $682.46 / $909.41 / $8,459.92	Facility		$682.46	$909.41	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $112.98 / $112.98	Professional		$112.98	$112.98	$112.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $213.80 / $480.28	Facility		$137.46	$213.80	$480.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $154.93 / $327.33	Professional		$76.30	$154.93	$327.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.18 / $195.53 / $275.20	Professional		$86.18	$195.53	$275.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $294.20 / $479.00	Facility		$122.69	$294.20	$479.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $123.10 / $483.00 / $722.39	Facility		$123.10	$483.00	$722.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $134.03 / $598.19	Professional		$107.18	$134.03	$598.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $556.10 / $556.10 / $556.10	Facility		$556.10	$556.10	$556.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $217.26 / $289.68	Professional		$214.36	$217.26	$289.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $240.98 / $480.28	Facility		$141.05	$240.98	$480.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $167.47 / $327.33	Professional		$85.66	$167.47	$327.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $218.99	Facility		$144.84	$144.84	$218.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $144.84 / $218.99	Professional		$144.84	$144.84	$218.99
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $88.92 / $228.40	Professional		$60.83	$88.92	$228.40