Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $547.29 / $867.00	Facility		$167.92	$547.29	$867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $169.99 / $1,333.00	Professional		$153.41	$169.99	$1,333.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $976.87 / $1,301.73 / $8,459.92	Facility		$976.87	$1,301.73	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $161.69 / $161.69	Professional		$161.69	$161.69	$161.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.74 / $306.19 / $687.82	Facility		$196.74	$306.19	$687.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $221.88 / $468.79	Professional		$109.17	$221.88	$468.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $279.87 / $393.89	Professional		$123.35	$279.87	$393.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.08 / $351.22 / $726.79	Facility		$209.08	$351.22	$726.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $193.83 / $545.01 / $856.19	Facility		$193.83	$545.01	$856.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $185.62 / $856.19	Professional		$153.41	$185.62	$856.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $306.82 / $310.95 / $414.62	Professional		$306.82	$310.95	$414.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $201.82 / $344.89 / $687.82	Facility		$201.82	$344.89	$687.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $239.58 / $468.79	Professional		$122.66	$239.58	$468.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $313.47	Facility		$207.31	$207.31	$313.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $313.47	Professional		$207.31	$207.31	$313.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $379.38	Professional		$87.07	$124.39	$379.38