Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $41.13 / $166.66	Facility		$19.35	$41.13	$166.66
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $41.54 / $76.77 / $241.74	Facility	CQ	$41.54	$76.77	$241.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.97 / $56.04	Professional		$14.40	$19.97	$56.04
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.55 / $21.66 / $21.66	Professional	CQ	$15.55	$21.66	$21.66
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 $25.89 / $26.79 / $26.79	Professional		$25.89	$26.79	$26.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $65.00 / $75.00	Facility		$47.16	$65.00	$75.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $51.00 / $105.33	Professional		$18.00	$51.00	$105.33
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 $43.03 / $63.52 / $85.57	Facility		$43.03	$63.52	$85.57
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $8.64 / $39.83 / $46.50	Facility	CQ	$8.64	$39.83	$46.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $23.75 / $26.40	Professional		$23.40	$23.75	$26.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $41.68 / $168.55	Facility		$20.42	$41.68	$168.55
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $41.54 / $115.20 / $351.87	Facility	CQ	$41.54	$115.20	$351.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $21.29 / $65.76	Professional		$15.84	$21.29	$65.76
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $15.55 / $18.98 / $35.15	Professional	CQ	$15.55	$18.98	$35.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $150.69 / $189.58	Facility		$131.00	$150.69	$189.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $41.32 / $59.86	Professional		$20.81	$41.32	$59.86
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $65.00 / $75.00	Facility		$47.16	$65.00	$75.00
Priority Health Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $55.00 / $106.98	Professional		$19.77	$55.00	$106.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $28.84 / $28.84	Facility		$27.19	$28.84	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $28.84 / $30.38	Professional		$27.19	$28.84	$30.38
United Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $29.52 / $45.84	Professional		$23.05	$29.52	$45.84