Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $239.83 / $368.89	Facility		$71.44	$239.83	$368.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $71.44 / $567.13	Professional		$49.68	$71.44	$567.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $304.63 / $405.94 / $8,459.92	Facility		$304.63	$405.94	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $68.80 / $68.80	Professional		$68.80	$68.80	$68.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $130.12 / $292.30	Facility		$83.70	$130.12	$292.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $94.10 / $199.22	Professional		$41.50	$94.10	$199.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $119.07 / $167.58	Professional		$52.48	$119.07	$167.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.81 / $275.81 / $275.81	Facility		$275.81	$275.81	$275.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $241.47 / $364.27	Facility		$74.97	$241.47	$364.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $74.97 / $364.27	Professional		$55.57	$74.97	$364.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $132.30 / $242.40	Professional		$130.54	$132.30	$242.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $146.74 / $292.30	Facility		$85.95	$146.74	$292.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $94.29 / $199.22	Professional		$57.36	$94.29	$199.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $62.50 / $88.20 / $88.20	Facility		$62.50	$88.20	$88.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $88.20 / $88.20	Professional		$62.50	$88.20	$88.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $132.30	Professional		$37.04	$52.92	$132.30