Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $136.97 / $359.85	Facility		$69.51	$136.97	$359.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $68.53 / $252.00	Professional		$49.11	$68.53	$252.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
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 $90.04 / $93.43 / $155.02	Professional		$90.04	$93.43	$155.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $113.06	Facility		$65.00	$65.00	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $86.88 / $154.86	Professional		$60.34	$86.88	$154.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $110.00	Professional		$45.00	$60.00	$110.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $309.38 / $445.84	Facility		$133.44	$309.38	$445.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $81.70 / $86.37	Professional		$61.11	$81.70	$86.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $142.66 / $376.95	Facility		$69.51	$142.66	$376.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $74.19 / $224.00	Professional		$57.61	$74.19	$224.00
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $299.33 / $376.58	Facility		$131.00	$299.33	$376.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $94.50 / $150.84	Professional		$64.29	$94.50	$150.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $113.06	Facility		$65.00	$65.00	$113.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $86.88 / $148.87	Professional		$60.89	$86.88	$148.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $98.31 / $98.31	Facility		$87.46	$98.31	$98.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $98.31 / $103.56	Professional		$87.46	$98.31	$103.56
United Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $86.23 / $129.28	Professional		$73.05	$86.23	$129.28