Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $94.96 / $169.57	Facility		$32.85	$94.96	$169.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $39.25 / $167.47	Professional		$30.01	$39.25	$167.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $164.96 / $219.82 / $8,459.92	Facility		$164.96	$219.82	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $31.63 / $31.63	Professional		$31.63	$31.63	$31.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $59.98 / $134.74	Facility		$38.49	$59.98	$134.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $39.03 / $83.78	Professional		$20.81	$39.03	$83.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $54.74 / $77.05	Professional		$24.13	$54.74	$77.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $85.67 / $170.81	Facility		$62.73	$85.67	$170.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $86.78 / $167.47	Facility		$32.85	$86.78	$167.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $40.60 / $167.47	Professional		$32.03	$40.60	$167.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,249.39 / $1,291.04 / $1,796.00	Facility		$1,249.39	$1,291.04	$1,796.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $60.01 / $104.80	Professional		$34.47	$60.01	$104.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $67.47 / $134.74	Facility		$39.36	$67.47	$134.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $41.23 / $84.10	Professional		$20.83	$41.23	$84.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $52.54	Facility		$40.54	$40.54	$52.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $52.54	Professional		$40.54	$40.54	$52.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $57.31	Professional		$17.03	$24.33	$57.31