Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $934.15 / $1,378.08	Facility		$266.89	$934.15	$1,378.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $266.89 / $280.08	Professional		$197.71	$266.89	$280.08
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 $151.74 / $304.24 / $590.17	Professional		$151.74	$304.24	$590.17
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 $917.24 / $936.04 / $1,041.91	Facility		$917.24	$936.04	$1,041.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $934.15 / $1,360.88	Facility		$280.08	$934.15	$1,360.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $216.26 / $270.20 / $1,360.88	Professional		$216.26	$270.20	$1,360.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $487.67 / $494.26 / $659.02	Professional		$487.67	$494.26	$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 $154.65 / $313.56 / $592.44	Professional		$154.65	$313.56	$592.44
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 / $461.31	Professional		$138.38	$197.71	$461.31