Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $419.25 / $938.00	Facility		$109.42	$419.25	$938.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $105.56 / $827.73	Professional		$96.00	$105.56	$827.73
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $625.64 / $833.70 / $8,459.92	Facility		$625.64	$833.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $100.41 / $100.41	Professional		$100.41	$100.41	$100.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $195.54 / $427.04	Facility		$122.16	$195.54	$427.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $126.53 / $291.05	Professional		$75.34	$126.53	$291.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $173.79 / $244.59	Professional		$76.59	$173.79	$244.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.09 / $319.95 / $1,034.67	Facility		$176.09	$319.95	$1,034.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $364.95 / $772.00	Facility		$120.36	$364.95	$772.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $148.04 / $531.66	Professional		$96.00	$148.04	$531.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $181.10 / $213.70	Professional		$144.90	$181.10	$213.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $125.31 / $214.15 / $427.04	Facility		$125.31	$214.15	$427.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $137.53 / $291.05	Professional		$80.76	$137.53	$291.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $131.30	Professional		$128.72	$128.72	$131.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $77.23 / $235.58	Professional		$54.07	$77.23	$235.58