Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $100.08 / $310.63	Facility		$67.45	$100.08	$310.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $80.28 / $127.58	Professional		$65.06	$80.28	$127.58
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 $75.20 / $88.47 / $153.82	Professional		$75.20	$88.47	$153.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $73.00 / $95.00	Facility		$65.00	$73.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $99.83 / $141.94	Professional		$68.88	$99.83	$141.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $110.00 / $129.16	Professional		$94.39	$110.00	$129.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.59 / $298.58 / $308.27	Facility		$233.59	$298.58	$308.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $107.77 / $310.63	Facility		$70.84	$107.77	$310.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $83.76 / $231.52	Professional		$66.05	$83.76	$231.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $496.32 / $584.73	Facility		$131.00	$496.32	$584.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $66.40 / $218.80	Professional		$51.30	$66.40	$218.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $73.00 / $95.00	Facility		$65.00	$73.00	$95.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $98.27 / $141.94	Professional		$68.88	$98.27	$141.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $82.91 / $116.02	Facility		$61.38	$82.91	$116.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $81.41 / $87.34	Professional		$67.25	$81.41	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $98.05 / $162.04	Professional		$71.63	$98.05	$162.04