Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $136.22 / $362.18	Facility		$134.88	$136.22	$362.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $138.93	Professional		$134.88	$134.88	$138.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $134.88 / $8,639.91	Facility		$115.16	$134.88	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $146.34 / $233.29	Professional		$124.39	$146.34	$233.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.78 / $910.78 / $1,138.43	Facility		$910.78	$910.78	$1,138.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $138.56 / $362.18	Facility		$134.88	$138.56	$362.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $164.89	Professional		$134.88	$134.88	$164.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $287.00 / $287.00	Professional		$236.00	$287.00	$287.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $140.44	Professional		$134.88	$134.88	$140.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $120.84 / $140.22	Facility		$120.84	$120.84	$140.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $120.84 / $140.22	Professional		$120.84	$120.84	$140.22
United Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $134.88 / $176.03	Professional		$128.15	$134.88	$176.03