Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $260.20 / $278.31	Facility		$29.24	$260.20	$278.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $260.20 / $260.20	Professional		$244.90	$260.20	$260.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.97 / $8,459.92	Facility		$33.11	$38.97	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $38.97 / $38.97	Professional		$38.97	$38.97	$38.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $306.12	Professional		$260.20	$260.20	$306.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.80 / $302.33 / $309.60	Facility		$294.80	$302.33	$309.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $260.20 / $372.09	Facility		$29.24	$260.20	$372.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $260.20 / $640.09	Professional		$251.02	$260.20	$640.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.53 / $591.69 / $811.63	Professional		$398.53	$591.69	$811.63
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $253.63 / $253.63 / $278.99	Facility		$253.63	$253.63	$278.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $253.63 / $278.99	Professional		$253.63	$253.63	$278.99
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $352.29	Professional		$255.10	$255.10	$352.29