Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.27 / $35.27 / $95.22	Facility		$35.27	$35.27	$95.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $79.12 / $141.86	Professional		$31.25	$79.12	$141.86
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 $88.76 / $130.59 / $235.59	Professional		$88.76	$130.59	$235.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $58.82	Facility		$58.82	$58.82	$58.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $87.92 / $189.05	Professional		$37.76	$87.92	$189.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $142.22 / $184.47	Professional		$106.80	$142.22	$184.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.41 / $1,011.44 / $1,344.30	Facility		$455.41	$1,011.44	$1,344.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $35.27 / $35.27 / $95.22	Facility		$35.27	$35.27	$95.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $80.26 / $194.91	Professional		$32.60	$80.26	$194.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $248.20 / $275.10	Professional		$196.10	$248.20	$275.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $58.82	Facility		$58.82	$58.82	$58.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $87.92 / $189.21	Professional		$37.56	$87.92	$189.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $34.01 / $107.89	Facility		$31.88	$34.01	$107.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $87.06 / $95.33	Professional		$32.93	$87.06	$95.33
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 $93.06 / $140.88 / $198.55	Professional		$93.06	$140.88	$198.55