Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $363.84 / $585.52	Facility		$103.22	$363.84	$585.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $103.22 / $819.38	Professional		$94.30	$103.22	$819.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $524.75 / $699.26 / $8,459.92	Facility		$524.75	$699.26	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $99.40 / $99.40	Professional		$99.40	$99.40	$99.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.93 / $188.16 / $422.69	Facility		$120.93	$188.16	$422.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $136.08 / $288.08	Professional		$65.19	$136.08	$288.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $172.03 / $242.12	Professional		$75.81	$172.03	$242.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.16 / $411.98 / $616.65	Facility		$180.16	$411.98	$616.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $108.32 / $361.27 / $585.52	Facility		$108.32	$361.27	$585.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $108.32 / $526.29	Professional		$94.30	$108.32	$526.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $191.15 / $254.86	Professional		$188.60	$191.15	$254.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $124.05 / $212.00 / $422.69	Facility		$124.05	$212.00	$422.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $140.84 / $288.08	Professional		$67.09	$140.84	$288.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $127.43 / $168.39	Facility		$127.43	$127.43	$168.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $168.39	Professional		$127.43	$127.43	$168.39
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $76.45 / $182.32	Professional		$53.52	$76.45	$182.32