Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $355.23 / $628.72	Facility		$121.77	$355.23	$628.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $121.77 / $127.78	Professional		$90.20	$121.77	$127.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $519.22 / $691.89 / $8,459.92	Facility		$519.22	$691.89	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $117.26 / $117.26	Professional		$117.26	$117.26	$117.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $222.02 / $498.75	Facility		$142.66	$222.02	$498.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $138.97 / $269.45	Professional		$69.17	$138.97	$269.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $202.95 / $285.63	Professional		$89.45	$202.95	$285.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $237.33 / $423.62	Facility		$74.95	$237.33	$423.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.78 / $379.50 / $620.86	Facility		$127.78	$379.50	$620.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $123.27 / $620.86	Professional		$98.66	$123.27	$620.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.49 / $637.03 / $886.17	Facility		$616.49	$637.03	$886.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $225.50 / $300.66	Professional		$222.49	$225.50	$300.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $250.09 / $498.75	Facility		$146.40	$250.09	$498.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $143.16 / $270.49	Professional		$70.61	$143.16	$270.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $165.36	Facility		$150.33	$150.33	$165.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $165.36	Professional		$150.33	$150.33	$165.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $200.72	Professional		$63.14	$90.20	$200.72