Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.90 / $164.31 / $244.93	Facility		$98.90	$164.31	$244.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $219.82 / $404.00	Professional		$162.50	$219.82	$404.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $252.15 / $252.15	Professional		$252.15	$252.15	$252.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $245.68 / $8,639.91	Facility		$208.83	$245.68	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $245.68	Professional		$245.68	$245.68	$245.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $242.15 / $543.71	Facility		$21.33	$242.15	$543.71
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $228.44 / $228.44 / $252.15	Professional		$228.44	$228.44	$252.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $182.22 / $736.20	Facility		$87.50	$182.22	$736.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $230.81 / $414.36	Professional		$162.50	$230.81	$414.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $269.08 / $482.69	Facility		$241.25	$269.08	$482.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $187.08	Facility		$175.00	$175.00	$187.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $187.08	Professional		$175.00	$175.00	$187.08
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $258.61 / $310.33	Professional		$215.51	$258.61	$310.33