Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $198.63 / $495.53	Facility		$87.50	$198.63	$495.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $369.38 / $773.60	Professional		$239.07	$369.38	$773.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $359.90 / $385.04	Professional		$359.90	$359.90	$385.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $335.55 / $394.76 / $8,639.91	Facility		$335.55	$394.76	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $375.02 / $375.02	Professional		$375.02	$375.02	$375.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $250.00 / $464.78	Facility		$130.11	$250.00	$464.78
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $326.07 / $359.90 / $385.04	Professional		$326.07	$359.90	$385.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $313.63 / $895.59	Facility		$87.50	$313.63	$895.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $364.45 / $773.60	Professional		$226.40	$364.45	$773.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $336.85 / $375.49 / $666.21	Facility		$336.85	$375.49	$666.21
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $274.02 / $274.02	Facility		$274.02	$274.02	$274.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $274.02 / $274.02	Professional		$274.02	$274.02	$274.02
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $394.76 / $493.45	Professional		$329.09	$394.76	$493.45