Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $184.00 / $480.96	Facility		$182.18	$184.00	$480.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Professional		$182.18	$182.18	$184.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $155.53 / $182.18 / $8,639.91	Facility		$155.53	$182.18	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $189.06	Professional		$182.18	$182.18	$189.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $197.65 / $246.67	Professional		$180.46	$197.65	$246.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.11 / $308.11 / $308.11	Facility		$308.11	$308.11	$308.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $184.00 / $480.96	Facility		$182.18	$184.00	$480.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Professional		$182.18	$182.18	$184.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.60 / $338.80 / $338.80	Professional		$278.60	$338.80	$338.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $206.24	Professional		$182.18	$182.18	$206.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.78 / $104.78 / $121.59	Facility		$104.78	$104.78	$121.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $104.78 / $121.59	Professional		$104.78	$104.78	$121.59
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $313.99	Professional		$182.18	$182.18	$313.99