Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $126.61 / $354.02	Facility		$65.86	$126.61	$354.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $68.53 / $254.40	Professional		$49.11	$68.53	$254.40
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 / $153.63	Professional		$60.34	$86.88	$153.63
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 $177.10 / $434.02 / $905.75	Facility		$177.10	$434.02	$905.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $86.12 / $86.37	Professional		$79.02	$86.12	$86.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $125.13 / $359.85	Facility		$68.53	$125.13	$359.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $74.19 / $248.00	Professional		$57.11	$74.19	$248.00
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 / $145.90	Professional		$60.89	$86.88	$145.90
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 $72.20 / $84.94 / $127.41	Professional		$72.20	$84.94	$127.41