Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $89.91 / $1,359.00	Facility		$80.81	$89.91	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $85.86 / $104.05	Professional		$76.86	$85.86	$104.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $87.33 / $196.29	Professional		$84.15	$87.33	$196.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $162.87 / $377.85	Facility		$46.88	$162.87	$377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $114.23 / $186.00	Professional		$83.36	$114.23	$186.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $182.87 / $182.87 / $182.87	Facility		$182.87	$182.87	$182.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $121.18 / $160.51	Professional		$92.02	$121.18	$160.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.71 / $561.71 / $561.71	Facility		$561.71	$561.71	$561.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.91 / $89.91 / $1,812.00	Facility		$89.91	$89.91	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $88.07 / $155.08	Professional		$77.08	$88.07	$155.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $98.60 / $98.60	Facility		$98.60	$98.60	$98.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $116.30 / $207.80	Professional		$91.30	$116.30	$207.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $150.52 / $314.62	Facility		$46.88	$150.52	$314.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $112.36 / $186.00	Professional		$82.45	$112.36	$186.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $83.22 / $98.66	Facility		$83.22	$83.22	$98.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $83.40 / $98.66	Professional		$80.94	$83.40	$98.66
United Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $95.99 / $160.57	Professional		$75.42	$95.99	$160.57