Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $171.20 / $304.91	Facility		$101.09	$171.20	$304.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.09 / $111.19	Professional		$100.09	$101.09	$111.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $92.69 / $108.58 / $8,459.92	Facility		$92.69	$108.58	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $103.86 / $103.86	Professional		$103.86	$103.86	$103.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $100.09	Facility		$94.42	$100.09	$100.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $103.86	Professional		$100.09	$100.09	$103.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $108.58 / $125.64	Professional		$103.86	$108.58	$125.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $109.75 / $109.75	Professional		$109.75	$109.75	$109.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $156.47 / $304.91	Facility		$101.30	$156.47	$304.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $101.30 / $212.64	Professional		$100.09	$101.30	$212.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $162.10 / $197.10	Professional		$27.40	$162.10	$197.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $100.09	Facility		$94.42	$100.09	$100.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $104.90	Professional		$100.09	$100.09	$104.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $103.66	Facility		$89.34	$89.34	$103.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $103.66	Professional		$89.34	$89.34	$103.66
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $141.43	Professional		$100.09	$106.10	$141.43