Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.79 / $494.11 / $782.26	Facility		$110.79	$494.11	$782.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $106.89 / $838.15	Professional		$100.86	$106.89	$838.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $657.31 / $875.90 / $8,459.92	Facility		$657.31	$875.90	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $101.67 / $101.67	Professional		$101.67	$101.67	$101.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.71 / $198.00 / $432.47	Facility		$123.71	$198.00	$432.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $125.27 / $294.75	Professional		$76.26	$125.27	$294.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $175.97 / $247.67	Professional		$77.56	$175.97	$247.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $311.58 / $602.45	Facility		$186.20	$311.58	$602.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $371.50 / $782.00	Facility		$134.26	$371.50	$782.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $149.90 / $538.35	Professional		$97.76	$149.90	$538.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $195.53 / $260.70	Professional		$146.69	$195.53	$260.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $126.88 / $216.87 / $432.47	Facility		$126.88	$216.87	$432.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $139.34 / $294.75	Professional		$81.84	$139.34	$294.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $169.36	Facility		$130.35	$130.35	$169.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $130.35 / $169.36	Professional		$130.35	$130.35	$169.36
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $78.20 / $205.43	Professional		$54.75	$78.20	$205.43