Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $359.52 / $7,722.72	Facility		$138.74	$359.52	$7,722.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $208.11	Professional		$138.74	$138.74	$208.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $138.74 / $8,639.91	Facility		$118.44	$138.74	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $147.27	Professional		$138.74	$138.74	$147.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $150.52 / $187.85	Professional		$143.97	$150.52	$187.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.18 / $868.18 / $3,115.50	Facility		$868.18	$868.18	$3,115.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $137.54 / $719.03 / $3,613.74	Facility		$137.54	$719.03	$3,613.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $140.13 / $412.05	Professional		$138.74	$140.13	$412.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $301.60 / $301.60	Professional		$228.80	$301.60	$301.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $138.74 / $138.74	Facility		$130.88	$138.74	$138.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $157.06	Professional		$138.74	$138.74	$157.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.22 / $134.22 / $155.76	Facility		$134.22	$134.22	$155.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $134.22 / $155.76	Professional		$134.22	$134.22	$155.76
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $239.70	Professional		$138.74	$138.74	$239.70