Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $17.57 / $373.18	Facility		$11.32	$17.57	$373.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.53 / $40.19	Professional		$10.84	$18.53	$40.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
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 $19.38 / $20.11 / $34.06	Professional		$19.38	$20.11	$34.06
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $29.07 / $30.16 / $51.08	Professional	50	$29.07	$30.16	$51.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $24.06 / $56.45	Professional		$11.98	$24.06	$56.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $30.15 / $39.39	Professional		$22.80	$30.15	$39.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $90.06 / $90.06	Facility		$90.06	$90.06	$90.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $19.64 / $21.32	Professional		$18.32	$19.64	$21.32
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.07 / $29.07 / $29.07	Professional	50	$29.07	$29.07	$29.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $19.51 / $1,081.00	Facility		$11.32	$19.51	$1,081.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $19.51 / $42.06	Professional		$11.26	$19.51	$42.06
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $40.15 / $50.70	Professional		$13.83	$40.15	$50.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $19.10	Facility		$19.10	$19.10	$19.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $23.83 / $62.55	Professional		$11.98	$23.83	$62.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $18.57 / $39.13	Facility		$10.98	$18.57	$39.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $18.20 / $29.63	Professional		$10.98	$18.20	$29.63
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 $18.85 / $29.00 / $47.84	Professional		$18.85	$29.00	$47.84