Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $144.80 / $213.61	Facility		$41.37	$144.80	$213.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $43.41 / $76.59	Professional		$40.86	$43.41	$76.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $235.05 / $8,459.92	Facility		$176.39	$235.05	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $75.45 / $169.51	Facility		$48.47	$75.45	$169.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $54.65 / $115.53	Professional		$24.07	$54.65	$115.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $68.94 / $136.91	Professional		$30.39	$68.94	$136.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $136.91 / $783.17	Facility		$122.08	$136.91	$783.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $144.80 / $210.92	Facility		$43.41	$144.80	$210.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $58.46 / $210.92	Professional		$38.29	$58.46	$210.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $76.61 / $102.14	Professional		$75.58	$76.61	$102.14
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $84.98 / $169.51	Facility		$49.75	$84.98	$169.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $54.68 / $115.53	Professional		$33.10	$54.68	$115.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $65.87	Facility		$51.07	$51.07	$65.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $65.87	Professional		$51.07	$51.07	$65.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $71.50	Professional		$21.45	$30.64	$71.50