Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $538.14 / $628.21	Facility		$532.39	$538.14	$628.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $121.83 / $248.86	Professional		$103.02	$121.83	$248.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $415.33 / $578.04 / $817.30	Facility		$415.33	$578.04	$817.30
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $162.41 / $282.25	Professional		$156.51	$162.41	$282.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $213.54 / $216.44	Facility		$213.54	$213.54	$216.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $102.97 / $225.83	Professional		$61.00	$102.97	$225.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $219.60 / $292.33	Professional		$97.16	$219.60	$292.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $219.22 / $219.96	Professional		$194.25	$219.22	$219.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $538.14 / $538.14 / $628.21	Facility		$538.14	$538.14	$628.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $156.78 / $628.21	Professional		$107.88	$156.78	$628.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $210.72 / $282.62	Professional		$123.64	$210.72	$282.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $213.54 / $213.54 / $216.44	Facility		$213.54	$213.54	$216.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $110.87 / $236.51	Professional		$63.03	$110.87	$236.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $148.78 / $181.00	Professional		$127.07	$148.78	$181.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $170.05 / $263.47	Professional		$95.87	$170.05	$263.47