Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $107.32	Facility		$107.32	$107.32	$107.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $122.43 / $329.62	Professional		$103.61	$122.43	$329.62
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $143.86 / $248.94	Professional		$138.90	$143.86	$248.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $167.43 / $262.26	Professional		$124.02	$167.43	$262.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $285.29 / $285.29 / $285.29	Facility		$285.29	$285.29	$285.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $195.37 / $354.95	Professional		$148.81	$195.37	$354.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $190.58 / $237.28	Professional		$173.25	$190.58	$237.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $107.32	Facility		$107.32	$107.32	$107.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $154.02 / $336.00	Professional		$107.31	$154.02	$336.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $151.80 / $151.80	Facility		$151.80	$151.80	$151.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $210.60 / $300.42	Professional		$151.80	$210.60	$300.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $164.49 / $262.26	Professional		$124.02	$164.49	$262.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $130.94 / $165.49	Professional		$127.05	$130.94	$165.49
United Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $159.63 / $240.82	Professional		$123.06	$159.63	$240.82