Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.23 / $704.70 / $873.78	Facility		$169.23	$704.70	$873.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $177.58 / $294.26	Professional		$165.05	$177.58	$294.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $984.43 / $1,311.80 / $8,459.92	Facility		$984.43	$1,311.80	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $162.96 / $162.96	Professional		$162.96	$162.96	$162.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $308.61 / $693.25	Facility		$198.27	$308.61	$693.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $223.63 / $472.49	Professional		$110.02	$223.63	$472.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $282.04 / $396.95	Professional		$124.30	$282.04	$396.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $415.59 / $852.75	Facility		$231.00	$415.59	$852.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.23 / $593.12 / $868.37	Facility		$169.23	$593.12	$868.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $200.27 / $862.84	Professional		$165.05	$200.27	$862.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $313.38 / $417.84	Professional		$309.20	$313.38	$417.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $347.58 / $693.25	Facility		$203.39	$347.58	$693.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $241.26 / $472.49	Professional		$123.59	$241.26	$472.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $208.92 / $315.89	Facility		$208.92	$208.92	$315.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $208.92 / $315.89	Professional		$208.92	$208.92	$315.89
United Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $250.70 / $250.70	Facility		$188.03	$250.70	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $125.35 / $329.46	Professional		$87.75	$125.35	$329.46