Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $113.06 / $144.13	Facility		$27.85	$113.06	$144.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $25.56 / $31.46	Professional		$17.37	$25.56	$31.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $113.18 / $146.97 / $8,639.91	Facility		$113.18	$146.97	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $25.56 / $25.56	Professional		$25.56	$25.56	$25.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $42.60 / $95.85	Facility		$21.54	$42.60	$95.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $37.11 / $49.10	Professional		$15.25	$37.11	$49.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $19.32 / $44.37	Professional		$15.07	$19.32	$44.37
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $78.55 / $173.81	Facility		$44.05	$78.55	$173.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $21.63 / $21.63	Professional		$21.63	$21.63	$21.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $89.71 / $141.76	Facility		$27.85	$89.71	$141.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $27.85 / $135.34	Professional		$21.51	$27.85	$135.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $256.58 / $356.95	Facility		$248.34	$256.58	$356.95
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $47.65 / $108.66	Facility		$21.94	$47.65	$108.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $37.11 / $46.98	Professional		$14.29	$37.11	$46.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Facility		$36.04	$36.04	$36.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Professional		$36.04	$36.04	$36.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.66 / $55.71	Professional		$13.76	$19.66	$55.71