Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $142.29 / $1,359.00	Facility		$122.82	$142.29	$1,359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $125.03 / $146.65	Professional		$102.42	$125.03	$146.65
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 $126.77 / $131.55 / $238.91	Professional		$126.77	$131.55	$238.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $144.69 / $150.52	Facility		$81.96	$144.69	$150.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $142.32 / $279.07	Professional		$91.04	$142.32	$279.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.01 / $193.62 / $260.30	Professional		$132.01	$193.62	$260.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $158.58 / $158.58	Professional		$158.58	$158.58	$158.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $142.29 / $1,812.00	Facility		$142.29	$142.29	$1,812.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $130.19 / $228.20	Professional		$109.89	$130.19	$228.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $113.70 / $230.35	Professional		$63.72	$113.70	$230.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $144.69 / $144.69	Facility		$80.08	$144.69	$144.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $148.32 / $294.36	Professional		$93.98	$148.32	$294.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $122.30 / $122.30	Facility		$78.00	$122.30	$122.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $122.30 / $130.87	Professional		$120.61	$122.30	$130.87
United Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $138.03 / $253.54	Professional		$84.25	$138.03	$253.54