Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $485.29 / $726.28	Facility		$140.66	$485.29	$726.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $140.66 / $1,116.63	Professional		$128.51	$140.66	$1,116.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $838.75 / $1,117.67 / $8,459.92	Facility		$838.75	$1,117.67	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $135.44 / $135.44	Professional		$135.44	$135.44	$135.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $256.37 / $575.90	Facility		$164.80	$256.37	$575.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $166.82 / $392.51	Professional		$97.32	$166.82	$392.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $234.44 / $329.95	Professional		$103.33	$234.44	$329.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $299.86 / $299.86	Facility		$299.86	$299.86	$299.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $485.29 / $726.28	Facility		$147.61	$485.29	$726.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $147.61 / $717.22	Professional		$126.00	$147.61	$717.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $257.50 / $468.80	Professional		$187.20	$257.50	$468.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $288.92 / $575.90	Facility		$169.07	$288.92	$575.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $185.77 / $392.51	Professional		$104.37	$185.77	$392.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $173.66 / $173.66	Facility		$173.66	$173.66	$173.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $177.13	Professional		$173.66	$173.66	$177.13
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $173.66 / $300.61	Professional		$104.20	$173.66	$300.61