Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $78.68 / $219.98	Facility		$48.36	$78.68	$219.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $52.25 / $94.18	Professional		$41.14	$52.25	$94.18
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 $52.83 / $54.82 / $86.59	Professional		$52.83	$54.82	$86.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $176.94 / $257.49	Facility		$61.51	$176.94	$257.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $56.99 / $99.43	Professional		$32.56	$56.99	$99.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $70.30 / $85.11	Professional		$41.71	$70.30	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $68.93 / $70.98	Professional		$68.93	$68.93	$70.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.77 / $91.01 / $219.98	Facility		$50.77	$91.01	$219.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.06 / $113.86	Professional		$45.00	$59.06	$113.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $55.70 / $110.30	Professional		$27.90	$55.70	$110.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $176.94 / $260.37	Facility		$61.51	$176.94	$260.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $56.99 / $99.26	Professional		$32.56	$56.99	$99.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $25.50 / $52.72	Facility		$25.50	$25.50	$52.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $52.27 / $56.84	Professional		$25.50	$52.27	$56.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.13 / $96.77	Professional		$28.84	$54.13	$96.77