Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.91 / $882.60 / $1,357.49	Facility		$262.91	$882.60	$1,357.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $262.91 / $2,087.05	Professional		$194.75	$262.91	$2,087.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,121.07 / $1,493.88 / $8,459.92	Facility		$1,121.07	$1,493.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $253.17 / $253.17	Professional		$253.17	$253.17	$253.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.02 / $479.36 / $1,076.82	Facility		$308.02	$479.36	$1,076.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $299.61 / $563.92	Professional		$149.50	$299.61	$563.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $438.18 / $616.70	Professional		$193.13	$438.18	$616.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.89 / $985.47 / $1,488.41	Facility		$458.89	$985.47	$1,488.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $262.91 / $882.60 / $1,340.52	Facility		$262.91	$882.60	$1,340.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $220.71 / $275.89 / $1,340.52	Professional		$220.71	$275.89	$1,340.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $480.38 / $486.87 / $649.16	Professional		$480.38	$486.87	$649.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $315.79 / $540.00 / $1,076.82	Facility		$315.79	$540.00	$1,076.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $300.92 / $566.08	Professional		$149.56	$300.92	$566.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $357.04	Facility		$324.58	$324.58	$357.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $357.04	Professional		$324.58	$324.58	$357.04
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $194.75 / $486.87	Professional		$136.32	$194.75	$486.87