Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $158.03 / $360.12	Facility		$92.09	$158.03	$360.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $92.10 / $181.02	Professional		$65.73	$92.10	$181.02
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 $111.60 / $115.81 / $174.41	Professional		$111.60	$115.81	$174.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $150.00	Facility		$65.00	$78.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $119.67 / $186.30	Professional		$94.06	$119.67	$186.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $123.31 / $167.11	Professional		$78.67	$123.31	$167.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.19 / $275.19 / $306.33	Facility		$275.19	$275.19	$306.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $158.03 / $399.86	Facility		$92.10	$158.03	$399.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $98.87 / $228.94	Professional		$65.73	$98.87	$228.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $92.60 / $283.10	Professional		$92.60	$92.60	$283.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $150.00	Facility		$65.00	$78.00	$150.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $118.53 / $189.22	Professional		$93.43	$118.53	$189.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $108.95 / $108.95	Facility		$98.82	$108.95	$108.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $108.95 / $114.14	Professional		$98.82	$108.95	$114.14
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $119.55 / $130.41	Facility		$108.68	$119.55	$130.41
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $107.45 / $181.78	Professional		$82.86	$107.45	$181.78