Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $98.92 / $284.91	Facility		$97.94	$98.92	$284.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $100.88	Professional		$97.94	$97.94	$100.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $97.94 / $8,639.91	Facility		$83.61	$97.94	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $106.26	Professional		$97.94	$97.94	$106.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $97.94 / $125.11	Professional		$83.25	$97.94	$125.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.98 / $259.98 / $259.98	Facility		$259.98	$259.98	$259.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $109.00 / $284.91	Facility		$97.94	$109.00	$284.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $129.71	Professional		$97.94	$97.94	$129.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $187.70 / $187.70	Professional		$154.30	$187.70	$187.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $110.88	Professional		$97.94	$97.94	$110.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $82.66	Facility		$71.23	$71.23	$82.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $82.66	Professional		$71.23	$71.23	$82.66
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $146.91	Professional		$97.94	$97.94	$146.91