Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $318.60 / $774.57	Facility		$150.01	$318.60	$774.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $150.01 / $254.33	Professional		$111.12	$150.01	$254.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $639.66 / $852.38 / $8,459.92	Facility		$639.66	$852.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.46 / $144.46	Professional		$144.46	$144.46	$144.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $273.77 / $615.02	Facility		$175.75	$273.77	$615.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $171.21 / $331.98	Professional		$85.27	$171.21	$331.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $250.02 / $351.88	Professional		$110.19	$250.02	$351.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $372.97 / $585.60	Facility		$148.96	$372.97	$585.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $318.60 / $764.88	Facility		$150.01	$318.60	$764.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $157.41 / $764.88	Professional		$133.34	$157.41	$764.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.30 / $435.81 / $635.14	Facility		$416.30	$435.81	$635.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $277.80 / $370.40	Professional		$274.10	$277.80	$370.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $308.11 / $615.02	Facility		$180.41	$308.11	$615.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $176.38 / $333.25	Professional		$86.99	$176.38	$333.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Facility		$185.20	$185.20	$203.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $203.72	Professional		$185.20	$185.20	$203.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $277.80	Professional		$77.78	$111.12	$277.80