Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $525.49 / $808.24	Facility		$156.53	$525.49	$808.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $156.53 / $164.26	Professional		$115.95	$156.53	$164.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $667.47 / $889.43 / $8,459.92	Facility		$667.47	$889.43	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $150.74 / $150.74	Professional		$150.74	$150.74	$150.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $285.39 / $641.10	Facility		$183.39	$285.39	$641.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $178.41 / $346.36	Professional		$88.94	$178.41	$346.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $260.89 / $367.18	Professional		$114.99	$260.89	$367.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.18 / $389.18 / $389.18	Facility		$389.18	$389.18	$389.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $525.49 / $798.12	Facility		$164.26	$525.49	$798.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $158.47 / $798.12	Professional		$126.83	$158.47	$798.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $286.01 / $289.88 / $386.50	Professional		$286.01	$289.88	$386.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $187.96 / $321.50 / $641.10	Facility		$187.96	$321.50	$641.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $184.02 / $347.68	Professional		$90.76	$184.02	$347.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $212.58	Facility		$193.25	$193.25	$212.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $212.58	Professional		$193.25	$193.25	$212.58
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $289.88	Professional		$81.17	$115.95	$289.88