Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $53.31 / $417.81	Facility		$24.35	$53.31	$417.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $25.53 / $41.78	Professional		$20.62	$25.53	$41.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $57,255.43 / $79,506.39	Facility		$5,000.00	$57,255.43	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $35.93 / $35.93	Professional		$34.72	$35.93	$35.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $71.76 / $75.00	Facility		$65.00	$71.76	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $62.59 / $111.17	Professional		$28.73	$62.59	$111.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $94.00	Professional		$45.00	$45.00	$94.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Facility		$56.91	$56.91	$56.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $51.62 / $390.10	Facility		$25.10	$51.62	$390.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $27.66 / $75.00	Professional		$21.82	$27.66	$75.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $52.33 / $79.20	Professional		$26.27	$52.33	$79.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $71.76 / $75.00	Facility		$65.00	$71.76	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $65.00 / $113.16	Professional		$30.94	$65.00	$113.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $35.86 / $35.86	Facility		$28.52	$35.86	$35.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $35.86 / $38.02	Professional		$28.52	$35.86	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $37.88 / $58.31	Professional		$29.97	$37.88	$58.31