Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $244.72 / $317.92	Facility		$105.63	$244.72	$317.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.54	Professional		$89.34	$89.34	$126.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $96.93 / $8,459.92	Facility		$82.75	$96.93	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $92.72 / $92.72	Professional		$92.72	$92.72	$92.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $89.34	Facility		$84.29	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $96.93	Professional		$89.34	$89.34	$96.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $92.72 / $125.09	Professional		$92.72	$92.72	$125.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.48 / $245.48 / $245.48	Facility		$245.48	$245.48	$245.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $233.93 / $317.92	Facility		$105.63	$233.93	$317.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $105.63 / $257.27	Professional		$89.34	$105.63	$257.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $168.20 / $286.70	Professional		$27.40	$168.20	$286.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $89.34	Facility		$84.29	$89.34	$89.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.79	Professional		$89.34	$89.34	$113.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $126.63 / $146.93	Facility		$126.63	$126.63	$146.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $126.63 / $146.93	Professional		$126.63	$126.63	$146.93
United Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $127.59	Facility		$104.58	$104.58	$127.59
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $126.24	Professional		$89.34	$94.70	$126.24