Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $447.13 / $709.02	Facility		$121.73	$447.13	$709.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $127.75 / $206.39	Professional		$112.07	$127.75	$206.39
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $757.85 / $1,009.88 / $8,459.92	Facility		$757.85	$1,009.88	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $117.23 / $117.23	Professional		$117.23	$117.23	$117.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $228.29 / $498.75	Facility		$142.63	$228.29	$498.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $144.47 / $339.93	Professional		$87.95	$144.47	$339.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $202.89 / $285.55	Professional		$89.42	$202.89	$285.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $334.71 / $1,327.63	Facility		$209.97	$334.71	$1,327.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.75 / $426.69 / $663.51	Facility		$127.75	$426.69	$663.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $173.81 / $620.70	Professional		$112.72	$173.81	$620.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $225.44 / $520.79	Professional		$169.20	$225.44	$520.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $250.04 / $498.75	Facility		$146.40	$250.04	$498.75
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $160.88 / $339.93	Professional		$94.28	$160.88	$339.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $150.29	Facility		$150.29	$150.29	$150.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $150.29 / $153.30	Professional		$150.29	$150.29	$153.30
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $150.29 / $275.02	Professional		$90.17	$150.29	$275.02