Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $44.72 / $148.40	Facility		$20.92	$44.72	$148.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.75 / $28.05	Professional		$17.64	$21.75	$28.05
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 $24.28 / $28.56 / $60.01	Professional		$24.28	$28.56	$60.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $50.67 / $75.00	Facility		$36.03	$50.67	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $50.27 / $113.94	Professional		$22.05	$50.27	$113.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $92.55	Professional		$45.00	$45.00	$92.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.77 / $68.77 / $68.77	Facility		$68.77	$68.77	$68.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $28.42 / $28.42	Professional		$28.42	$28.42	$28.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $44.72 / $148.40	Facility		$22.07	$44.72	$148.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $22.39 / $57.60	Professional		$18.52	$22.39	$57.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $27.20 / $81.80	Professional		$22.30	$27.20	$81.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $50.67 / $75.00	Facility		$36.03	$50.67	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $54.94 / $114.34	Professional		$23.20	$54.94	$114.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $31.12 / $31.12	Facility		$27.13	$31.12	$31.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $31.12 / $32.79	Professional		$27.13	$31.12	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $32.19 / $49.45	Professional		$25.65	$32.19	$49.45