Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $534.59 / $788.65	Facility		$152.74	$534.59	$788.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $154.63 / $282.85	Professional		$139.54	$154.63	$282.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $906.55 / $1,208.02 / $8,459.92	Facility		$906.55	$1,208.02	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $147.08 / $147.08	Professional		$147.08	$147.08	$147.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $278.62 / $625.88	Facility		$178.95	$278.62	$625.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $181.29 / $426.57	Professional		$105.32	$181.29	$426.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $254.57 / $358.28	Professional		$112.20	$254.57	$358.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $772.06 / $772.06	Facility		$772.06	$772.06	$772.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $534.59 / $788.65	Facility		$160.28	$534.59	$788.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $215.03 / $778.79	Professional		$139.54	$215.03	$778.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $279.08 / $556.79	Professional		$202.40	$279.08	$556.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $183.55 / $313.72 / $625.88	Facility		$183.55	$313.72	$625.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $201.90 / $426.57	Professional		$112.76	$201.90	$426.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $188.57 / $188.57	Facility		$188.57	$188.57	$188.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $188.57 / $192.34	Professional		$188.57	$188.57	$192.34
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $188.57 / $326.23	Professional		$113.14	$188.57	$326.23