Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $220.71 / $285.47	Facility		$51.81	$220.71	$285.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $54.37 / $87.83	Professional		$51.17	$54.37	$87.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $220.91 / $294.38 / $8,459.92	Facility		$220.91	$294.38	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $49.89 / $49.89	Professional		$49.89	$49.89	$49.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $94.32 / $211.89	Facility		$60.69	$94.32	$211.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $68.34 / $144.41	Professional		$30.09	$68.34	$144.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $86.35 / $318.87	Professional		$38.04	$86.35	$318.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.59 / $303.81 / $640.12	Facility		$195.59	$303.81	$640.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $181.34 / $279.77	Facility		$54.37	$181.34	$279.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $71.28 / $264.16	Professional		$50.53	$71.28	$264.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $95.94 / $127.92	Professional		$94.66	$95.94	$127.92
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $106.40 / $211.89	Facility		$62.34	$106.40	$211.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $68.40 / $144.41	Professional		$41.49	$68.40	$144.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $93.13	Facility		$63.96	$63.96	$93.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $93.13	Professional		$63.96	$63.96	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $85.40	Professional		$26.86	$38.38	$85.40