Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $249.23 / $415.48	Facility		$55.51	$249.23	$415.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $52.56 / $78.37	Professional		$47.41	$52.56	$78.37
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 $50.41 / $52.32 / $93.86	Professional		$50.41	$52.32	$93.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $67.48 / $115.58	Professional		$47.75	$67.48	$115.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $73.28 / $99.86	Professional		$50.60	$73.28	$99.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $323.11 / $515.05	Facility		$191.04	$323.11	$515.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $58.30 / $88.71	Professional		$52.85	$58.30	$88.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $168.16 / $415.48	Facility		$56.61	$168.16	$415.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $57.74 / $138.31	Professional		$49.32	$57.74	$138.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $58.30 / $107.10	Professional		$58.30	$58.30	$107.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $80.89 / $80.89	Facility		$80.89	$80.89	$80.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $67.58 / $118.95	Professional		$47.75	$67.58	$118.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.80 / $51.43 / $59.95	Facility		$50.80	$51.43	$59.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $51.62 / $59.21	Professional		$49.94	$51.62	$59.21
United Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $61.59 / $107.33	Professional		$48.43	$61.59	$107.33