Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $525.49 / $808.24	Facility		$156.53	$525.49	$808.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $156.53 / $1,242.59	Professional		$119.14	$156.53	$1,242.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $681.07 / $907.57 / $8,459.92	Facility		$681.07	$907.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $150.74 / $150.74	Professional		$150.74	$150.74	$150.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $285.39 / $641.10	Facility		$183.39	$285.39	$641.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $180.95 / $345.80	Professional		$88.94	$180.95	$345.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $260.89 / $367.18	Professional		$114.99	$260.89	$367.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $389.18 / $858.80	Facility		$181.86	$389.18	$858.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $525.49 / $798.12	Facility		$164.26	$525.49	$798.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $164.26 / $798.12	Professional		$134.09	$164.26	$798.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $289.88 / $386.50	Professional		$286.01	$289.88	$386.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $187.96 / $321.50 / $641.10	Facility		$187.96	$321.50	$641.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $182.77 / $345.80	Professional		$90.46	$182.77	$345.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $216.91	Facility		$193.25	$193.25	$216.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $216.91	Professional		$193.25	$193.25	$216.91
United Facility/Professional Facility Modifier Low / Median / High Price $82.82 / $82.82 / $82.82	Facility		$82.82	$82.82	$82.82
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $353.65	Professional		$81.17	$115.95	$353.65