Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $259.20 / $1,000.99	Facility		$115.48	$259.20	$1,000.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $100.52 / $126.76	Professional		$81.36	$100.52	$126.76
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 $94.80 / $98.37 / $175.94	Professional		$94.80	$98.37	$175.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $240.05 / $913.42	Facility		$104.10	$240.05	$913.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $124.04 / $205.16	Professional		$79.61	$124.04	$205.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $131.75 / $156.13	Professional		$110.87	$131.75	$156.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $394.15 / $805.24	Facility		$0.50	$394.15	$805.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $127.03 / $259.20 / $750.50	Facility		$127.03	$259.20	$750.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $108.27 / $175.70	Professional		$88.39	$108.27	$175.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $99.60 / $199.58	Professional		$29.48	$99.60	$199.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $88.74 / $240.05 / $1,151.63	Facility		$88.74	$240.05	$1,151.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $124.04 / $203.49	Professional		$79.80	$124.04	$203.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $107.41 / $110.00	Facility		$107.41	$107.41	$110.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $107.41 / $116.63	Professional		$105.71	$107.41	$116.63
United Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $114.76 / $200.75	Professional		$91.80	$114.76	$200.75