Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.77 / $355.23 / $628.72	Facility		$121.77	$355.23	$628.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.77 / $966.62	Professional		$100.00	$121.77	$966.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $519.22 / $691.89 / $8,459.92	Facility		$519.22	$691.89	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $117.26 / $117.26	Professional		$117.26	$117.26	$117.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $222.02 / $498.75	Facility		$142.66	$222.02	$498.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $160.69 / $339.93	Professional		$70.81	$160.69	$339.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $202.95 / $285.63	Professional		$89.45	$202.95	$285.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.74 / $470.31 / $787.40	Facility		$302.74	$470.31	$787.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $140.56 / $346.28 / $620.86	Facility		$140.56	$346.28	$620.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $127.78 / $620.86	Professional		$100.00	$127.78	$620.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $225.50 / $300.66	Professional		$222.49	$225.50	$300.66
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $250.09 / $498.75	Facility		$146.40	$250.09	$498.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $160.88 / $339.93	Professional		$97.72	$160.88	$339.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $173.77	Facility		$150.33	$150.33	$173.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $173.77	Professional		$150.33	$150.33	$173.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $90.20 / $210.46	Professional		$63.14	$90.20	$210.46