Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.62 / $461.99 / $710.56	Facility		$137.62	$461.99	$710.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.73 / $144.41 / $340.00	Professional		$125.73	$144.41	$340.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $445.66 / $593.86 / $8,459.92	Facility		$445.66	$593.86	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $132.52 / $132.52	Professional		$132.52	$132.52	$132.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.24 / $251.05 / $563.95	Facility		$161.24	$251.05	$563.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $163.35 / $384.36	Professional		$59.87	$163.35	$384.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $229.37 / $322.81	Professional		$101.09	$229.37	$322.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.84 / $513.90 / $785.24	Facility		$223.84	$513.90	$785.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $461.99 / $710.56	Facility		$144.41	$461.99	$710.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $168.70 / $701.69	Professional		$122.33	$168.70	$701.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.45 / $254.85 / $339.80	Professional		$251.45	$254.85	$339.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $165.29 / $282.67 / $563.95	Facility		$165.29	$282.67	$563.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $177.45 / $384.36	Professional		$69.95	$177.45	$384.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $169.90 / $169.90	Facility		$143.00	$169.90	$169.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $169.90 / $169.90	Professional		$143.00	$169.90	$169.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $101.94 / $226.85	Professional		$71.36	$101.94	$226.85