Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.02 / $1,010.60	Facility		$27.01	$27.02	$1,010.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $24.94 / $30.10	Professional		$21.62	$24.94	$30.10
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 $24.33 / $25.24 / $44.90	Professional		$24.33	$25.24	$44.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $46.56 / $150.52	Facility		$25.19	$46.56	$150.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $29.59 / $47.89	Professional		$22.01	$29.59	$47.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $48.95 / $48.95	Facility		$48.95	$48.95	$48.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $36.65 / $50.56	Professional		$27.13	$36.65	$50.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.32 / $266.37 / $364.92	Facility		$105.32	$266.37	$364.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $80.23 / $1,010.60	Facility		$27.01	$80.23	$1,010.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $25.94 / $44.01	Professional		$22.25	$25.94	$44.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.39 / $67.00	Professional		$15.00	$16.39	$67.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $43.37 / $150.52	Facility		$25.19	$43.37	$150.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $29.00 / $47.52	Professional		$22.02	$29.00	$47.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $13.83 / $13.83	Facility		$13.83	$13.83	$13.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $13.83 / $13.83	Professional		$13.83	$13.83	$13.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.81 / $45.30	Professional		$20.05	$25.81	$45.30