Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $120.99 / $804.54	Facility		$43.42	$120.99	$804.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $95.27 / $102.33	Professional		$93.03	$95.27	$102.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $106.48 / $8,459.92	Facility		$90.51	$106.48	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $106.48 / $106.48	Professional		$106.48	$106.48	$106.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $192.77 / $501.77	Facility		$62.00	$192.77	$501.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $214.65 / $804.54	Facility		$72.56	$214.65	$804.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $95.27 / $234.36	Professional		$93.03	$95.27	$234.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.63 / $330.49 / $453.33	Professional		$222.63	$330.49	$453.33
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $106.48 / $117.13	Facility		$106.48	$106.48	$117.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $106.48 / $117.13	Professional		$106.48	$106.48	$117.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $130.50	Professional		$100.00	$100.00	$130.50