Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $902.12 / $1,378.08	Facility		$266.89	$902.12	$1,378.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $266.89 / $2,118.75	Professional		$199.09	$266.89	$2,118.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,516.57 / $8,459.92	Facility		$1,138.08	$1,516.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $257.02 / $257.02	Professional		$257.02	$257.02	$257.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $486.62 / $1,093.11	Facility		$312.70	$486.62	$1,093.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $305.58 / $577.38	Professional		$151.74	$305.58	$577.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.06 / $444.84 / $626.07	Professional		$196.06	$444.84	$626.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $663.60 / $1,065.31	Facility		$260.20	$663.60	$1,065.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $902.12 / $1,360.88	Facility		$280.08	$902.12	$1,360.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $280.08 / $1,360.88	Professional		$224.07	$280.08	$1,360.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.67 / $494.26 / $659.02	Professional		$487.67	$494.26	$659.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $548.19 / $1,093.11	Facility		$320.83	$548.19	$1,093.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $306.93 / $577.38	Professional		$152.54	$306.93	$577.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $362.46	Facility		$329.51	$329.51	$362.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $362.46	Professional		$329.51	$329.51	$362.46
United Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $197.71 / $395.41	Facility		$197.71	$197.71	$395.41
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $596.54	Professional		$138.38	$197.71	$596.54