Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $152.68 / $3,129.38	Facility		$151.16	$152.68	$3,129.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $541.29	Professional		$151.16	$152.68	$541.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $151.16 / $8,639.91	Facility		$129.05	$151.16	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $166.47	Professional		$151.16	$151.16	$166.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $151.16 / $193.09	Professional		$128.49	$151.16	$193.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $152.68 / $4,288.32	Facility		$151.16	$152.68	$4,288.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $541.29	Professional		$151.16	$152.68	$541.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $347.20 / $347.20	Professional		$285.50	$347.20	$347.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $151.16 / $151.16	Facility		$142.61	$151.16	$151.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $171.13	Professional		$151.16	$151.16	$171.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $153.46 / $153.46 / $178.07	Facility		$153.46	$153.46	$178.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $153.46 / $178.07	Professional		$153.46	$153.46	$178.07
United Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $151.16 / $260.54	Professional		$143.61	$151.16	$260.54