Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $186.62 / $576.73	Facility		$55.56	$186.62	$576.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $55.56 / $165.01	Professional		$52.29	$55.56	$165.01
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 $50.98 / $50.98 / $50.98	Professional		$50.98	$50.98	$50.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $96.74 / $217.32	Facility		$62.02	$96.74	$217.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $70.09 / $148.12	Professional		$34.40	$70.09	$148.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $88.24 / $124.18	Professional		$38.89	$88.24	$124.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.18 / $170.49 / $725.00	Facility		$103.18	$170.49	$725.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $178.94 / $492.79	Facility		$55.58	$178.94	$492.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $72.38 / $269.94	Professional		$51.63	$72.38	$269.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $98.04 / $130.72	Professional		$96.73	$98.04	$130.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $108.73 / $217.32	Facility		$63.60	$108.73	$217.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $75.48 / $148.12	Professional		$38.71	$75.48	$148.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $65.36 / $98.82	Facility		$65.36	$65.36	$98.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $98.82	Professional		$65.36	$65.36	$98.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.22 / $98.04	Professional		$27.45	$39.22	$98.04