Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $109.67 / $287.14	Facility		$63.26	$109.67	$287.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $69.40 / $213.43	Professional		$52.54	$69.40	$213.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $79.89 / $140.97	Professional		$67.91	$79.89	$140.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $80.69 / $133.47	Professional		$33.29	$80.69	$133.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $115.18	Professional		$45.00	$45.00	$115.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.68 / $182.01 / $318.52	Facility		$102.68	$182.01	$318.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $109.67 / $287.14	Facility		$68.48	$109.67	$287.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.63 / $213.43	Professional		$52.82	$75.63	$213.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $121.41 / $152.74	Facility		$113.68	$121.41	$152.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $90.00 / $194.90	Professional		$73.59	$90.00	$194.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $81.67 / $133.47	Professional		$34.29	$81.67	$133.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $75.00 / $81.65	Facility		$29.45	$75.00	$81.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $75.00 / $81.65	Professional		$29.45	$75.00	$81.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $82.24 / $145.24	Professional		$63.80	$82.24	$145.24