Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $107.80 / $172.44	Facility		$30.96	$107.80	$172.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.85 / $27.80	Professional		$23.60	$24.85	$27.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $182.10 / $8,639.91	Facility		$140.22	$182.10	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Professional		$21.68	$21.68	$21.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $37.02 / $92.36	Facility		$18.27	$37.02	$92.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $31.80 / $48.66	Professional		$17.39	$31.80	$48.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $22.24 / $37.64	Professional		$12.79	$22.24	$37.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $86.11 / $140.84	Facility		$46.91	$86.11	$140.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $21.59 / $26.50	Professional		$16.68	$21.59	$26.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $107.80 / $177.00	Facility		$28.63	$107.80	$177.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $24.85 / $42.79	Professional		$21.96	$24.85	$42.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $98.58 / $98.58	Facility		$98.58	$98.58	$98.58
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $42.24 / $92.36	Facility		$18.61	$42.24	$92.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $31.80 / $48.66	Professional		$17.39	$31.80	$48.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $27.80 / $39.58	Professional		$24.46	$27.80	$39.58
United Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $21.06 / $48.37	Professional		$12.51	$21.06	$48.37