Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $653.86 / $1,164.53	Facility		$386.90	$653.86	$1,164.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $463.52	Professional		$391.06	$391.07	$463.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $362.20 / $424.27 / $8,459.92	Facility		$362.20	$424.27	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $405.83 / $405.83 / $405.83	Professional		$405.83	$405.83	$405.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $391.07 / $391.07	Facility		$368.93	$391.07	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $392.93	Professional		$391.07	$391.07	$392.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $424.27 / $489.20	Professional		$405.82	$424.27	$489.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.14 / $769.14 / $769.14	Facility		$769.14	$769.14	$769.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.89 / $411.89 / $422.78	Professional		$411.89	$411.89	$422.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $386.90 / $597.59 / $1,164.53	Facility		$386.90	$597.59	$1,164.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $386.90 / $394.56 / $835.60	Professional		$386.90	$394.56	$835.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $601.29 / $731.30	Professional		$27.40	$601.29	$731.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $391.07 / $391.07	Facility		$368.93	$391.07	$391.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $405.83	Professional		$391.07	$391.07	$405.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.83 / $331.83 / $385.05	Facility		$331.83	$331.83	$385.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $331.83 / $385.05	Professional		$331.83	$331.83	$385.05
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $510.35	Professional		$391.07	$414.53	$510.35