Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.13 / $668.45 / $1,183.09	Facility		$229.13	$668.45	$1,183.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $229.13 / $714.13	Professional		$99.66	$229.13	$714.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $977.04 / $1,301.96 / $8,459.92	Facility		$977.04	$1,301.96	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $220.65 / $220.65	Professional		$220.65	$220.65	$220.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $417.93 / $938.83	Facility		$268.45	$417.93	$938.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $302.20 / $639.86	Professional		$133.30	$302.20	$639.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $381.89 / $1,597.37	Professional		$168.32	$381.89	$1,597.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $604.83 / $1,453.25	Facility		$18.64	$604.83	$1,453.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $229.13 / $769.21 / $1,183.09	Facility		$229.13	$769.21	$1,183.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $240.45 / $1,168.29	Professional		$99.66	$240.45	$1,168.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $418.66 / $424.32 / $565.76	Professional		$418.66	$424.32	$565.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $275.49 / $470.62 / $938.83	Facility		$275.49	$470.62	$938.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.88 / $302.85 / $639.86	Professional		$183.88	$302.85	$639.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $891.97	Facility		$282.88	$282.88	$891.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $891.97	Professional		$282.88	$282.88	$891.97
United Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $339.46	Facility		$169.73	$169.73	$339.46
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $396.03	Professional		$118.81	$169.73	$396.03