Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.19 / $449.36 / $626.64	Facility		$208.19	$449.36	$626.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $227.84	Professional		$207.13	$207.13	$227.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $191.83 / $224.71 / $8,459.92	Facility		$191.83	$224.71	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $214.94 / $214.94	Professional		$214.94	$214.94	$214.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $207.13	Facility		$195.40	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $214.94	Professional		$207.13	$207.13	$214.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $224.71 / $259.10	Professional		$214.94	$224.71	$259.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $420.89 / $584.78	Facility		$130.90	$420.89	$584.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $232.04 / $232.74	Professional		$231.96	$232.04	$232.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.19 / $321.56 / $626.64	Facility		$208.19	$321.56	$626.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $208.19 / $351.84	Professional		$207.13	$208.19	$351.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $316.18 / $405.50	Professional		$27.40	$316.18	$405.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $207.13 / $207.13	Facility		$195.40	$207.13	$207.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $221.45	Professional		$207.13	$207.13	$221.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $185.98 / $215.81	Facility		$185.98	$185.98	$215.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $185.98 / $185.98 / $215.81	Professional		$185.98	$185.98	$215.81
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.56 / $286.05	Professional		$207.13	$219.56	$286.05