Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $106.05 / $252.81	Facility		$29.62	$106.05	$252.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $31.65 / $35.11	Professional		$29.62	$31.65	$35.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $184.40 / $239.46 / $8,639.91	Facility		$184.40	$239.46	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $48.70 / $121.70	Facility		$24.04	$48.70	$121.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $42.13 / $63.89	Professional		$22.99	$42.13	$63.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $21.58 / $49.52	Professional		$16.82	$21.58	$49.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $77.26 / $160.35	Facility		$29.69	$77.26	$160.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $35.00 / $35.00	Professional		$21.94	$35.00	$35.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $100.02 / $237.51	Facility		$26.33	$100.02	$237.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $31.65 / $151.03	Professional		$27.43	$31.65	$151.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $132.85 / $184.80	Facility		$128.58	$132.85	$184.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $55.54 / $121.70	Facility		$24.48	$55.54	$121.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $42.13 / $63.89	Professional		$22.99	$42.13	$63.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $36.57 / $36.57	Facility		$36.57	$36.57	$36.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $36.57 / $52.05	Professional		$32.18	$36.57	$52.05
United Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $21.46 / $21.46	Facility		$21.46	$21.46	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $23.40 / $63.63	Professional		$16.46	$23.40	$63.63