Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $896.00 / $1,378.08	Facility		$266.89	$896.00	$1,378.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $266.89 / $2,118.75	Professional		$197.71	$266.89	$2,118.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,516.57 / $8,459.92	Facility		$1,138.08	$1,516.57	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $257.02 / $257.02	Professional		$257.02	$257.02	$257.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $486.62 / $1,093.11	Facility		$312.70	$486.62	$1,093.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $304.24 / $572.04	Professional		$151.71	$304.24	$572.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.06 / $444.84 / $626.07	Professional		$196.06	$444.84	$626.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.60 / $663.60 / $663.60	Facility		$663.60	$663.60	$663.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $896.00 / $1,360.88	Facility		$280.08	$896.00	$1,360.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $280.08 / $1,360.88	Professional		$224.07	$280.08	$1,360.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $187.60 / $659.02	Professional		$164.80	$187.60	$659.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $548.19 / $1,093.11	Facility		$320.83	$548.19	$1,093.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $305.26 / $574.24	Professional		$151.71	$305.26	$574.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $362.46	Facility		$329.51	$329.51	$362.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $362.46	Professional		$329.51	$329.51	$362.46
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $603.00	Professional		$138.38	$197.71	$603.00