Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.37 / $156.19 / $217.82	Facility		$72.37	$156.19	$217.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $86.70	Professional		$68.20	$68.20	$86.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $73.98 / $8,459.92	Facility		$63.17	$73.98	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $70.77 / $70.77	Professional		$70.77	$70.77	$70.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $68.20 / $68.20	Facility		$64.34	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $73.98 / $95.48	Professional		$70.77	$73.98	$95.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.45 / $683.45 / $8,214.42	Facility		$683.45	$683.45	$8,214.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.37 / $122.31 / $217.82	Facility		$72.37	$122.31	$217.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.37 / $172.95	Professional		$68.20	$72.37	$172.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $136.38 / $168.10	Professional		$27.40	$136.38	$168.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $68.20 / $68.20	Facility		$64.34	$68.20	$68.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $105.60 / $122.54	Facility		$105.60	$105.60	$122.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $105.60 / $122.54	Professional		$105.60	$105.60	$122.54
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $117.54	Professional		$68.20	$72.29	$117.54