Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $376.16 / $12,081.45	Facility		$173.03	$376.16	$12,081.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $221.32	Professional		$173.03	$174.75	$221.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $160.26 / $187.72 / $8,459.92	Facility		$160.26	$187.72	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $179.56 / $179.56	Professional		$179.56	$179.56	$179.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $173.03	Facility		$163.24	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $178.12	Professional		$173.03	$173.03	$178.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $179.56 / $217.40	Professional		$179.56	$179.56	$217.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.46 / $432.26 / $548.52	Facility		$176.46	$432.26	$548.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Professional		$187.61	$187.61	$187.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $403.77 / $15,011.00	Facility		$174.27	$403.77	$15,011.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.76 / $323.70	Professional		$173.03	$174.76	$323.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $164.10 / $293.39	Professional		$27.40	$164.10	$293.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $173.03	Facility		$163.24	$173.03	$173.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $179.56	Professional		$173.03	$173.03	$179.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $143.51 / $166.53	Facility		$143.51	$143.51	$166.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.51 / $143.51 / $166.53	Professional		$143.51	$143.51	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $233.59	Professional		$173.03	$183.41	$233.59