Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $429.18 / $67,828.53	Facility		$183.48	$429.18	$67,828.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $231.18	Professional		$183.48	$185.31	$231.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $199.06 / $8,459.92	Facility		$169.94	$199.06	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $190.40 / $190.40	Professional		$190.40	$190.40	$190.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $183.48	Facility		$173.09	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $190.40	Professional		$183.48	$183.48	$190.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $176.97 / $229.52	Professional		$176.97	$176.97	$229.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.29 / $430.52 / $513.85	Facility		$188.29	$430.52	$513.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $450.16 / $67,828.53	Facility		$185.25	$450.16	$67,828.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $412.34	Professional		$183.48	$185.31	$412.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $230.30 / $361.60	Professional		$27.40	$230.30	$361.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $183.48 / $183.48	Facility		$173.09	$183.48	$183.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $196.10	Professional		$183.48	$183.48	$196.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.77 / $165.77 / $192.35	Facility		$165.77	$165.77	$192.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $165.77 / $192.35	Professional		$165.77	$165.77	$192.35
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $253.39	Professional		$183.48	$194.49	$253.39