Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.68 / $670.34 / $1,031.01	Facility		$199.68	$670.34	$1,031.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $199.68 / $1,585.12	Professional		$149.10	$199.68	$1,585.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $853.60 / $1,137.46 / $8,459.92	Facility		$853.60	$1,137.46	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $192.29 / $192.29	Professional		$192.29	$192.29	$192.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.95 / $364.24 / $818.21	Facility		$233.95	$364.24	$818.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $263.11 / $557.66	Professional		$113.48	$263.11	$557.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $332.80 / $468.39	Professional		$146.68	$332.80	$468.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.75 / $112.12 / $496.46	Facility		$107.75	$112.12	$496.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $670.34 / $1,031.01	Facility		$209.54	$670.34	$1,031.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $209.54 / $1,018.13	Professional		$167.63	$209.54	$1,018.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.85 / $369.78 / $493.04	Professional		$364.85	$369.78	$493.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.91 / $410.13 / $818.21	Facility		$239.91	$410.13	$818.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $263.94 / $557.66	Professional		$115.48	$263.94	$557.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $273.91	Facility		$246.52	$246.52	$273.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $273.91	Professional		$246.52	$246.52	$273.91
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $329.15	Professional		$103.54	$147.91	$329.15