Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $30.70	Facility		$19.67	$19.67	$30.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $30.72 / $52.69	Professional		$18.47	$30.72	$52.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,083.51 / $1,395.00 / $12,759.45	Facility		$1,083.51	$1,395.00	$12,759.45
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $29.71 / $53.60	Professional		$28.63	$29.71	$53.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $36.42 / $67.11	Professional		$20.29	$36.42	$67.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $44.36 / $58.01	Professional		$33.58	$44.36	$58.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $29.07 / $29.07	Professional		$29.07	$29.07	$29.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $30.70	Facility		$19.67	$19.67	$30.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $34.10 / $66.97	Professional		$19.25	$34.10	$66.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $68.30 / $96.70	Professional		$62.60	$68.30	$96.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $35.26 / $67.11	Professional		$20.23	$35.26	$67.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $28.67 / $51.30	Facility		$18.87	$28.67	$51.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.04 / $35.00	Professional		$18.87	$28.04	$35.00
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 $28.71 / $43.77 / $66.20	Professional		$28.71	$43.77	$66.20