Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $84.55 / $139.97	Facility		$27.11	$84.55	$139.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $27.11 / $84.49	Professional		$20.65	$27.11	$84.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $168.64 / $8,459.92	Facility		$126.55	$168.64	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $26.11 / $26.11	Professional		$26.11	$26.11	$26.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $49.34 / $110.83	Facility		$28.24	$49.34	$110.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $30.99 / $60.88	Professional		$15.59	$30.99	$60.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $45.18 / $63.59	Professional		$19.92	$45.18	$63.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $50.34 / $59.54	Facility		$15.89	$50.34	$59.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $85.35 / $138.22	Facility		$24.10	$85.35	$138.22
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $40.67 / $138.22	Professional		$24.10	$40.67	$138.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $41.70 / $104.80	Professional		$28.30	$41.70	$104.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $51.57 / $110.83	Facility		$28.24	$51.57	$110.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $31.86 / $60.88	Professional		$15.72	$31.86	$60.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Facility		$33.47	$33.47	$33.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $34.14	Professional		$33.47	$33.47	$34.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $33.47 / $54.76	Professional		$18.41	$33.47	$54.76