Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $207.38 / $932.03	Facility		$107.98	$207.38	$932.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $99.96 / $189.51	Professional		$88.51	$99.96	$189.51
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 $103.77 / $107.69 / $176.18	Professional		$103.77	$107.69	$176.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $169.64 / $261.12	Facility		$90.43	$169.64	$261.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $118.00 / $195.02	Professional		$74.65	$118.00	$195.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $138.32 / $166.43	Professional		$100.23	$138.32	$166.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $346.52 / $495.02	Facility		$168.00	$346.52	$495.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.98 / $201.92 / $932.03	Facility		$107.98	$201.92	$932.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $107.98 / $263.54	Professional		$88.71	$107.98	$263.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $53.30 / $289.60	Professional		$53.30	$53.30	$289.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $162.77 / $342.91	Facility		$87.41	$162.77	$342.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $118.00 / $190.15	Professional		$75.87	$118.00	$190.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $103.66 / $103.66	Facility		$63.50	$103.66	$103.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $103.66 / $112.02	Professional		$63.50	$103.66	$112.02
United Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $109.66 / $186.69	Professional		$73.06	$109.66	$186.69