Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $718.79 / $1,156.25	Facility		$214.12	$718.79	$1,156.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $214.12 / $667.32	Professional		$145.47	$214.12	$667.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $891.28 / $1,187.68 / $8,459.92	Facility		$891.28	$1,187.68	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $206.19 / $206.19 / $206.19	Professional		$206.19	$206.19	$206.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $390.36 / $876.89	Facility		$199.61	$390.36	$876.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $223.37 / $428.64	Professional		$110.89	$223.37	$428.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $356.86 / $502.25	Professional		$157.28	$356.86	$502.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.28 / $658.28 / $1,609.59	Facility		$658.28	$658.28	$1,609.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $723.73 / $1,179.80	Facility		$224.69	$723.73	$1,179.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $224.69 / $1,091.72	Professional		$163.55	$224.69	$1,091.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $293.50 / $528.67	Professional		$199.00	$293.50	$528.67
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $409.07 / $876.89	Facility		$199.61	$409.07	$876.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $228.53 / $428.64	Professional		$111.69	$228.53	$428.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $264.33 / $264.33	Facility		$264.33	$264.33	$264.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.57 / $264.33 / $264.33	Professional		$251.57	$264.33	$264.33
United Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Facility		$103.71	$103.71	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $264.33 / $432.51	Professional		$145.38	$264.33	$432.51