Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.79 / $633.76 / $974.78	Facility		$188.79	$633.76	$974.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $192.55 / $962.58	Professional		$176.99	$192.55	$962.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,013.31 / $1,350.28 / $8,459.92	Facility		$1,013.31	$1,350.28	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $181.79 / $181.79	Professional		$181.79	$181.79	$181.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.19 / $344.40 / $773.66	Facility		$221.19	$344.40	$773.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $249.00 / $527.29	Professional		$122.79	$249.00	$527.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $314.64 / $442.83	Professional		$138.68	$314.64	$442.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.07 / $786.52 / $1,491.06	Facility		$307.07	$786.52	$1,491.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $198.11 / $633.76 / $974.78	Facility		$198.11	$633.76	$974.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $268.02 / $962.58	Professional		$174.80	$268.02	$962.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.94 / $349.61 / $466.14	Professional		$344.94	$349.61	$466.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $387.76 / $773.66	Facility		$227.00	$387.76	$773.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $263.20 / $527.29	Professional		$127.17	$263.20	$527.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $233.07 / $325.16	Facility		$233.07	$233.07	$325.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $233.07 / $325.16	Professional		$233.07	$233.07	$325.16
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $139.84 / $349.61	Professional		$97.89	$139.84	$349.61