Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.13 / $769.21 / $1,183.09	Facility		$229.13	$769.21	$1,183.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $229.13 / $1,818.92	Professional		$169.73	$229.13	$1,818.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $977.04 / $1,301.96 / $8,459.92	Facility		$977.04	$1,301.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $220.65 / $220.65	Professional		$220.65	$220.65	$220.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $417.93 / $938.83	Facility		$268.45	$417.93	$938.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $260.75 / $490.78	Professional		$130.16	$260.75	$490.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $381.89 / $537.47	Professional		$168.32	$381.89	$537.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $240.04 / $569.69	Facility		$240.04	$240.04	$569.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $769.21 / $1,168.29	Facility		$240.45	$769.21	$1,168.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $240.45 / $1,168.29	Professional		$192.36	$240.45	$1,168.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $424.32 / $804.80	Professional		$418.66	$424.32	$804.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.49 / $470.62 / $938.83	Facility		$275.49	$470.62	$938.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $261.89 / $492.65	Professional		$130.16	$261.89	$492.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $311.17	Facility		$282.88	$282.88	$311.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $311.17	Professional		$282.88	$282.88	$311.17
United Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $118.81 / $118.81	Facility		$118.81	$118.81	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $396.03	Professional		$118.81	$169.73	$396.03