Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $349.35 / $572.97	Facility		$110.97	$349.35	$572.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $110.97 / $880.91	Professional		$65.00	$110.97	$880.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $473.18 / $630.54 / $8,459.92	Facility		$473.18	$630.54	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $106.86 / $106.86	Professional		$106.86	$106.86	$106.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $202.19 / $454.20	Facility		$130.01	$202.19	$454.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $146.21 / $309.56	Professional		$64.48	$146.21	$309.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $184.95 / $260.30	Professional		$81.52	$184.95	$260.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $291.14 / $620.71	Facility		$180.50	$291.14	$620.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $345.85 / $565.80	Facility		$116.45	$345.85	$565.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $157.55 / $565.80	Professional		$86.31	$157.55	$565.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $279.27 / $279.27 / $351.33	Facility		$279.27	$279.27	$351.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $205.50 / $320.80	Professional		$202.76	$205.50	$320.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $227.92 / $454.20	Facility		$133.49	$227.92	$454.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $146.52 / $309.56	Professional		$89.11	$146.52	$309.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $137.00 / $137.00	Facility		$110.51	$137.00	$137.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $137.00 / $137.00	Professional		$110.51	$137.00	$137.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $248.02	Professional		$57.54	$82.20	$248.02