Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $182.52 / $273.27	Facility		$52.93	$182.52	$273.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $52.93 / $420.14	Professional		$39.08	$52.93	$420.14
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 $50.97 / $50.97 / $50.97	Professional		$50.97	$50.97	$50.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $96.74 / $217.32	Facility		$62.01	$96.74	$217.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $69.84 / $148.12	Professional		$27.61	$69.84	$148.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $88.21 / $124.15	Professional		$38.88	$88.21	$124.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $165.47 / $301.99	Facility		$116.23	$165.47	$301.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $177.67 / $269.85	Facility		$55.54	$177.67	$269.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $75.14 / $269.85	Professional		$47.04	$75.14	$269.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $98.01 / $130.68	Professional		$96.70	$98.01	$130.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $108.70 / $217.32	Facility		$63.60	$108.70	$217.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $70.09 / $148.12	Professional		$30.60	$70.09	$148.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $66.00	Facility		$65.34	$65.34	$66.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $66.00	Professional		$65.34	$65.34	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $39.20 / $91.48	Professional		$27.44	$39.20	$91.48