Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $329.89 / $823.68	Facility		$108.47	$329.89	$823.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $108.36 / $974.40	Professional		$105.81	$108.36	$974.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $175.24 / $206.17 / $8,459.92	Facility		$175.24	$206.17	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Professional		$206.17	$206.17	$206.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $139.68 / $151.62	Professional		$139.68	$139.68	$151.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $111.03 / $423.40	Facility		$89.07	$111.03	$423.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Professional		$97.75	$97.75	$97.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $423.86 / $1,221.73	Facility		$117.04	$423.86	$1,221.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $108.36 / $477.60	Professional		$104.53	$108.36	$477.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.74 / $360.36 / $494.16	Professional		$242.74	$360.36	$494.16
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $139.68 / $139.68	Professional		$139.68	$139.68	$139.68
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $138.63	Professional		$106.24	$106.24	$138.63