Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $462.47 / $845.35	Facility		$175.89	$462.47	$845.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $94.36 / $278.70	Professional		$86.20	$94.36	$278.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $587.51 / $817.67 / $1,156.11	Facility		$587.51	$817.67	$1,156.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $90.86 / $90.86	Professional		$90.86	$90.86	$90.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.81 / $193.81 / $277.81	Facility		$193.81	$193.81	$277.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $112.05 / $238.42	Professional		$68.27	$112.05	$238.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $157.26 / $221.33	Professional		$69.31	$157.26	$221.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $424.52 / $590.15	Facility		$294.14	$424.52	$590.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $481.10 / $838.86	Facility		$175.89	$481.10	$838.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $95.88 / $481.10	Professional		$86.20	$95.88	$481.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $172.41 / $232.98	Professional		$84.80	$172.41	$232.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $193.81 / $193.81 / $277.81	Facility		$193.81	$193.81	$277.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $131.60 / $263.64	Professional		$68.87	$131.60	$263.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $116.49 / $165.83	Professional		$116.49	$116.49	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $116.49 / $202.37	Professional		$64.06	$116.49	$202.37