Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $425.96 / $774.57	Facility		$150.01	$425.96	$774.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.01 / $282.61	Professional		$100.00	$150.01	$282.61
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $639.66 / $852.38 / $8,459.92	Facility		$639.66	$852.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $144.46 / $144.46	Professional		$144.46	$144.46	$144.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.75 / $273.77 / $615.02	Facility		$175.75	$273.77	$615.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $197.97 / $419.17	Professional		$87.33	$197.97	$419.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $250.02 / $385.28	Professional		$110.19	$250.02	$385.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.56 / $941.60 / $1,506.77	Facility		$278.56	$941.60	$1,506.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.16 / $425.96 / $810.05	Facility		$173.16	$425.96	$810.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $200.00 / $764.88	Professional		$104.03	$200.00	$764.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.10 / $277.80 / $370.40	Professional		$274.10	$277.80	$370.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $308.11 / $615.02	Facility		$180.41	$308.11	$615.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $198.39 / $419.17	Professional		$120.40	$198.39	$419.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $490.35	Facility		$185.20	$185.20	$490.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $490.35	Professional		$185.20	$185.20	$490.35
United Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $111.12 / $222.24	Facility		$111.12	$111.12	$222.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $277.80	Professional		$77.78	$111.12	$277.80