Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $98.47 / $145.68	Facility		$71.26	$98.47	$145.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $83.48 / $146.30	Professional		$62.11	$83.48	$146.30
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 $100.05 / $103.83 / $180.34	Professional		$100.05	$103.83	$180.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $103.15 / $178.82	Professional		$68.44	$103.15	$178.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $161.06 / $206.07	Professional		$119.31	$161.06	$206.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.75 / $490.75 / $490.75	Professional		$490.75	$490.75	$490.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $98.47 / $145.68	Facility		$71.26	$98.47	$145.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $94.46 / $178.29	Professional		$62.11	$94.46	$178.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $105.60 / $201.70	Professional		$105.60	$105.60	$201.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $103.98 / $183.16	Professional		$69.06	$103.98	$183.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $67.16 / $95.93	Facility		$61.56	$67.16	$95.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $80.95 / $102.37	Professional		$64.77	$80.95	$102.37
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 $86.22 / $112.82 / $183.71	Professional		$86.22	$112.82	$183.71