Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $120.31 / $177.24	Facility		$34.33	$120.31	$177.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $34.33 / $272.50	Professional		$28.65	$34.33	$272.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $164.23 / $218.85 / $8,459.92	Facility		$164.23	$218.85	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Professional		$33.06	$33.06	$33.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $62.40 / $140.16	Facility		$39.42	$62.40	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $39.47 / $84.10	Professional		$20.52	$39.47	$84.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $57.21 / $80.52	Professional		$25.22	$57.21	$80.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $248.74 / $289.61	Facility		$192.08	$248.74	$289.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $120.16 / $177.24	Facility		$34.33	$120.16	$177.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $48.74 / $175.03	Professional		$30.51	$48.74	$175.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $57.80 / $84.76	Professional		$39.20	$57.80	$84.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $70.51 / $140.16	Facility		$39.42	$70.51	$140.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $40.60 / $84.10	Professional		$21.90	$40.60	$84.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $42.38	Facility		$42.38	$42.38	$42.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $43.23	Professional		$42.38	$42.38	$43.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $42.38 / $77.56	Professional		$25.43	$42.38	$77.56