Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $705.25 / $1,064.32	Facility		$163.22	$705.25	$1,064.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $167.50 / $508.70	Professional		$159.19	$167.50	$508.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $949.48 / $1,265.23 / $8,459.92	Facility		$949.48	$1,265.23	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $157.16 / $157.16	Professional		$157.16	$157.16	$157.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $297.48 / $668.26	Facility		$191.23	$297.48	$668.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $215.57 / $455.46	Professional		$106.10	$215.57	$455.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $272.02 / $382.85	Professional		$119.89	$272.02	$382.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.80 / $513.34 / $1,020.83	Facility		$222.80	$513.34	$1,020.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $171.28 / $571.27 / $890.90	Facility		$171.28	$571.27	$890.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $244.83 / $832.20	Professional		$159.19	$244.83	$832.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,530.24 / $1,530.24 / $1,530.24	Facility		$1,530.24	$1,530.24	$1,530.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $298.22 / $302.25 / $403.00	Professional		$298.22	$302.25	$403.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $196.15 / $335.24 / $668.26	Facility		$196.15	$335.24	$668.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $232.84 / $455.46	Professional		$119.24	$232.84	$455.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $201.50 / $304.68	Facility		$201.50	$201.50	$304.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $201.50 / $304.68	Professional		$201.50	$201.50	$304.68
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $120.90 / $307.89	Professional		$84.63	$120.90	$307.89