Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.01 / $738.54 / $1,089.51	Facility		$211.01	$738.54	$1,089.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $203.19 / $260.50	Professional		$138.07	$203.19	$260.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $899.74 / $1,198.95 / $8,459.92	Facility		$899.74	$1,198.95	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $203.19 / $203.19	Professional		$203.19	$203.19	$203.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $337.11 / $756.80	Facility		$169.33	$337.11	$756.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $294.19 / $589.50	Professional		$137.09	$294.19	$589.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $208.40 / $440.25	Professional		$119.83	$208.40	$440.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.10 / $1,172.02 / $1,172.02	Facility		$300.10	$1,172.02	$1,172.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $738.54 / $1,075.85	Facility		$221.43	$738.54	$1,075.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $211.01 / $1,075.85	Professional		$170.97	$211.01	$1,075.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $385.54 / $390.75 / $521.00	Professional		$385.54	$390.75	$521.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $338.66 / $864.94	Facility		$169.33	$338.66	$864.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $294.19 / $589.50	Professional		$193.10	$294.19	$589.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $260.50 / $286.55	Facility		$260.50	$260.50	$286.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $286.55	Professional		$260.50	$260.50	$286.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $390.75	Professional		$109.41	$156.30	$390.75