Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $117.20 / $424.35	Facility		$29.98	$117.20	$424.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $37.71 / $73.43	Professional		$24.10	$37.71	$73.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $56.39 / $78.56	Professional		$42.70	$56.39	$78.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $45.56 / $45.56	Facility		$45.56	$45.56	$45.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $31.76 / $81.53	Professional		$15.03	$31.76	$81.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $63.98 / $65.38	Professional		$49.76	$63.98	$65.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $304.85 / $620.57	Facility		$175.00	$304.85	$620.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $117.20 / $487.80	Facility		$32.53	$117.20	$487.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.07 / $96.96	Professional		$24.55	$41.07	$96.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $38.70 / $40.40	Professional		$38.70	$38.70	$40.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.09 / $40.09 / $45.56	Facility		$40.09	$40.09	$45.56
Priority Health Facility/Professional Facility Modifier AS Low / Median / High Price $4.01 / $4.01 / $4.01	Facility	AS	$4.01	$4.01	$4.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $33.40 / $90.08	Professional		$15.03	$33.40	$90.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $38.54 / $45.20	Facility		$24.32	$38.54	$45.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $40.78 / $43.90	Professional		$24.25	$40.78	$43.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $40.28 / $62.47	Professional		$33.63	$40.28	$62.47