Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $111.44 / $170.20	Facility		$32.97	$111.44	$170.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.97 / $261.70	Professional		$19.44	$32.97	$261.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.25 / $121.60 / $8,459.92	Facility		$91.25	$121.60	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $31.75 / $31.75	Professional		$31.75	$31.75	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $59.98 / $134.74	Facility		$30.19	$59.98	$134.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $33.88 / $64.64	Professional		$16.77	$33.88	$64.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $54.95 / $77.33	Professional		$24.22	$54.95	$77.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $72.40 / $72.40	Facility		$72.40	$72.40	$72.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $111.44 / $168.09	Facility		$32.97	$111.44	$168.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $34.60 / $168.09	Professional		$25.64	$34.60	$168.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $36.00 / $93.60	Professional		$24.40	$36.00	$93.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $63.09 / $134.74	Facility		$30.19	$63.09	$134.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $33.92 / $64.64	Professional		$16.96	$33.92	$64.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Facility		$40.70	$40.70	$40.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $40.70 / $40.70	Professional		$25.75	$40.70	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $40.70 / $70.70	Professional		$19.14	$40.70	$70.70