Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $141.03 / $645.25	Facility		$102.32	$141.03	$645.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $93.01 / $468.00	Professional		$79.22	$93.01	$468.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $8,639.91 / $79,506.39	Facility		$58.11	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $99.57 / $189.24	Professional		$95.95	$99.57	$189.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $170.81 / $260.37	Facility		$85.47	$170.81	$260.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $121.73 / $195.84	Professional		$79.70	$121.73	$195.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $137.81 / $236.08	Professional		$115.79	$137.81	$236.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.36 / $305.36 / $309.95	Facility		$305.36	$305.36	$309.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $102.32 / $191.36 / $477.46	Facility		$102.32	$191.36	$477.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $102.33 / $468.00	Professional		$83.73	$102.33	$468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $107.80 / $228.90	Professional		$53.12	$107.80	$228.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $167.63 / $260.37	Facility		$84.71	$167.63	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $120.89 / $191.29	Professional		$81.51	$120.89	$191.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $97.48 / $97.48	Facility		$87.50	$97.48	$97.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $97.48 / $105.45	Professional		$87.50	$97.48	$105.45
United Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $112.07 / $187.97	Professional		$81.50	$112.07	$187.97