Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $708.83 / $1,090.03	Facility		$305.95	$708.83	$1,090.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $388.56	Professional		$328.34	$328.34	$388.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $356.22 / $8,459.92	Facility		$304.11	$356.22	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $340.73 / $340.73 / $340.73	Professional		$340.73	$340.73	$340.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $328.34	Facility		$309.75	$328.34	$328.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $340.73	Professional		$328.34	$328.34	$340.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.73 / $356.22 / $492.87	Professional		$340.73	$356.22	$492.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $84.95 / $2,141.71	Facility		$80.91	$84.95	$2,141.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $517.05 / $920.88	Facility		$305.95	$517.05	$920.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $328.34 / $781.53	Professional		$305.95	$328.34	$781.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $1,016.60 / $1,887.50	Professional		$27.40	$1,016.60	$1,887.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $309.75 / $328.34 / $328.34	Facility		$309.75	$328.34	$328.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $371.70	Professional		$328.34	$328.34	$371.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $604.79 / $604.79 / $701.79	Facility		$604.79	$604.79	$701.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $604.79 / $701.79	Professional		$604.79	$604.79	$701.79
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $565.89	Professional		$328.34	$348.04	$565.89