Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $130.38 / $206.99	Facility		$130.38	$130.38	$206.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $154.38 / $202.91	Professional		$78.04	$154.38	$202.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $967.00 / $57,255.43 / $79,506.39	Facility		$967.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $265.89 / $265.89	Professional		$265.89	$265.89	$265.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.60 / $311.60 / $311.60	Facility		$311.60	$311.60	$311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $360.03 / $385.56	Professional		$279.20	$360.03	$385.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $189.49 / $199.43	Professional		$179.55	$189.49	$199.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $130.38 / $206.99	Facility		$130.38	$130.38	$206.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $154.38 / $220.19	Professional		$78.04	$154.38	$220.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $379.10 / $523.90	Professional		$134.30	$379.10	$523.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $311.60 / $311.60 / $311.60	Facility		$311.60	$311.60	$311.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $253.09 / $253.09	Facility		$190.10	$253.09	$253.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $253.09 / $253.09	Professional		$190.10	$253.09	$253.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $132.65 / $289.39	Professional		$93.97	$132.65	$289.39