Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $587.72 / $867.00	Facility		$167.92	$587.72	$867.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $176.21 / $1,333.00	Professional		$163.77	$176.21	$1,333.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,489.98 / $1,985.47 / $8,459.92	Facility		$1,489.98	$1,985.47	$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 / $233.97 / $646.52	Professional		$109.17	$233.97	$646.52
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 $539.11 / $539.11 / $539.11	Facility		$539.11	$539.11	$539.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $587.72 / $867.00	Facility		$176.21	$587.72	$867.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $251.88 / $856.19	Professional		$155.47	$251.88	$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 $181.88 / $239.58 / $646.52	Professional		$181.88	$239.58	$646.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $207.31 / $207.31	Facility		$77.22	$207.31	$207.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $207.31 / $207.31	Professional		$77.22	$207.31	$207.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $431.39	Professional		$87.07	$124.39	$431.39