Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $32.21 / $57.49	Facility		$32.21	$32.21	$57.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $49.54 / $68.38	Professional		$29.49	$49.54	$68.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $57.01 / $57.01	Professional		$54.94	$57.01	$57.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $53.23	Facility		$53.23	$53.23	$53.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $54.43 / $95.70	Professional		$33.65	$54.43	$95.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $86.80 / $112.61	Professional		$65.20	$86.80	$112.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $50.05 / $50.05	Professional		$50.05	$50.05	$50.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $32.21 / $57.49	Facility		$32.21	$32.21	$57.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $49.64 / $93.82	Professional		$30.48	$49.64	$93.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $54.60 / $114.60	Professional		$25.30	$54.60	$114.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $53.23	Facility		$53.23	$53.23	$53.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $55.81 / $97.45	Professional		$33.65	$55.81	$97.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $32.93 / $54.75	Facility		$31.67	$32.93	$54.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $46.22 / $58.46	Professional		$31.67	$46.22	$58.46
United Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $650.00 / $3,742.00	Facility		$162.00	$650.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $64.89 / $100.30	Professional		$47.56	$64.89	$100.30