Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $56.16 / $426.67	Facility		$40.93	$56.16	$426.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $59.91 / $123.01	Professional		$38.19	$59.91	$123.01
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 $56.03 / $89.14 / $152.97	Professional		$56.03	$89.14	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $88.30 / $217.91	Facility		$64.30	$88.30	$217.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $78.44 / $151.32	Professional		$41.95	$78.44	$151.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $84.04 / $113.30	Professional		$57.69	$84.04	$113.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.45 / $165.45 / $356.87	Facility		$165.45	$165.45	$356.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $59.96 / $59.96	Professional		$59.96	$59.96	$59.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $56.16 / $465.93	Facility		$40.93	$56.16	$465.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $69.81 / $196.39	Professional		$39.86	$69.81	$196.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $103.90 / $128.77	Professional		$100.00	$103.90	$128.77
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $88.30 / $181.59	Facility		$64.30	$88.30	$181.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $76.05 / $161.08	Professional		$41.95	$76.05	$161.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $54.84	Facility		$39.65	$39.65	$54.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $53.45 / $58.02	Professional		$39.65	$53.45	$58.02
United Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $79.19 / $130.07	Professional		$52.97	$79.19	$130.07