Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $73.17 / $112.55	Facility		$21.80	$73.17	$112.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $21.80 / $173.03	Professional		$15.64	$21.80	$173.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.81 / $127.67 / $8,459.92	Facility		$95.81	$127.67	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $39.65 / $89.10	Facility		$21.53	$39.65	$89.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $23.92 / $45.81	Professional		$11.96	$23.92	$45.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $36.33 / $51.13	Professional		$16.01	$36.33	$51.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $114.79 / $134.80	Facility		$40.47	$114.79	$134.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $76.39 / $112.55	Facility		$25.16	$76.39	$112.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $32.70 / $173.03	Professional		$19.38	$32.70	$173.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $31.60 / $56.80	Professional		$21.40	$31.60	$56.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $41.56 / $89.10	Facility		$21.53	$41.56	$89.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $23.98 / $45.81	Professional		$11.97	$23.98	$45.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $26.91	Facility		$26.91	$26.91	$26.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $26.91 / $27.05	Professional		$26.91	$26.91	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $26.91 / $46.75	Professional		$14.80	$26.91	$46.75