Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $339.55 / $522.25	Facility		$101.14	$339.55	$522.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $102.39 / $418.20	Professional		$75.44	$102.39	$418.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $431.29 / $574.71 / $8,459.92	Facility		$431.29	$574.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $97.40 / $97.40	Professional		$97.40	$97.40	$97.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.51 / $184.30 / $414.00	Facility		$118.51	$184.30	$414.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $115.92 / $219.03	Professional		$57.54	$115.92	$219.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $168.57 / $237.25	Professional		$74.30	$168.57	$237.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.08 / $249.64 / $574.35	Facility		$148.08	$249.64	$574.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.75 / $339.55 / $522.25	Facility		$116.75	$339.55	$522.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $143.60 / $515.71	Professional		$89.91	$143.60	$515.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $187.31 / $249.74	Professional		$184.81	$187.31	$249.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $207.75 / $414.00	Facility		$121.53	$207.75	$414.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $116.43 / $219.03	Professional		$57.87	$116.43	$219.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $124.87 / $137.36	Facility		$124.87	$124.87	$137.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $137.36	Professional		$124.87	$124.87	$137.36
United Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Facility		$52.45	$52.45	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $74.92 / $187.31	Professional		$52.45	$74.92	$187.31