Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.65 / $155.11 / $362.98	Facility		$90.65	$155.11	$362.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $98.26 / $327.00	Professional		$75.43	$98.26	$327.00
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 $109.69 / $113.83 / $179.66	Professional		$109.69	$113.83	$179.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $76.00 / $95.00	Facility		$65.00	$76.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $119.24 / $184.14	Professional		$91.64	$119.24	$184.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $121.24 / $163.63	Professional		$92.55	$121.24	$163.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $50.13 / $175.32	Facility		$50.13	$50.13	$175.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $90.66 / $156.25 / $397.94	Facility		$90.66	$156.25	$397.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $104.99 / $343.00	Professional		$79.48	$104.99	$343.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $92.60 / $278.39	Professional		$92.60	$92.60	$278.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $76.00 / $95.00	Facility		$65.00	$76.00	$95.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $119.00 / $180.85	Professional		$91.55	$119.00	$180.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $103.08 / $107.68 / $107.68	Facility		$103.08	$107.68	$107.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $107.68 / $112.75	Professional		$103.08	$107.68	$112.75
United Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $108.06 / $172.17	Professional		$80.81	$108.06	$172.17