Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $490.93 / $650.74	Facility		$122.92	$490.93	$650.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $117.13 / $929.84	Professional		$102.59	$117.13	$929.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $628.54 / $837.56 / $8,459.92	Facility		$628.54	$837.56	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $112.80 / $112.80	Professional		$112.80	$112.80	$112.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $213.80 / $480.28	Facility		$137.24	$213.80	$480.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $139.12 / $301.87	Professional		$73.69	$139.12	$301.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.05 / $195.22 / $274.76	Professional		$86.05	$195.22	$274.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $391.63 / $1,108.54	Facility		$106.94	$391.63	$1,108.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $471.64 / $771.20	Facility		$122.92	$471.64	$771.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $175.70 / $597.24	Professional		$104.12	$175.70	$597.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $207.00 / $460.80	Professional		$140.30	$207.00	$460.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $140.74 / $240.59 / $480.28	Facility		$140.74	$240.59	$480.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $147.97 / $301.87	Professional		$78.28	$147.97	$301.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $144.61	Facility		$144.61	$144.61	$144.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $147.50	Professional		$144.61	$144.61	$147.50
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $144.61 / $258.33	Professional		$86.77	$144.61	$258.33