Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $36.68 / $134.83	Facility		$32.32	$36.68	$134.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $31.40 / $78.31	Professional		$14.98	$31.40	$78.31
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 $31.23 / $32.36 / $32.36	Professional		$31.23	$32.36	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $65.00 / $75.00	Facility		$63.93	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $63.23 / $108.53	Professional		$26.26	$63.23	$108.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $92.55 / $110.00	Professional		$29.75	$92.55	$110.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $62.59 / $81.48	Facility		$62.59	$62.59	$81.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $38.45 / $38.45	Professional		$38.45	$38.45	$38.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $60.46 / $223.38	Facility		$33.46	$60.46	$223.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $33.46 / $81.73	Professional		$15.84	$33.46	$81.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $65.53 / $95.88	Professional		$36.60	$65.53	$95.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $65.00 / $75.00	Facility		$63.93	$65.00	$75.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $66.26 / $111.17	Professional		$29.22	$66.26	$111.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $31.63 / $46.97	Facility		$26.41	$31.63	$46.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $46.97 / $50.19	Professional		$26.41	$46.97	$50.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $46.08 / $67.23	Professional		$31.08	$46.08	$67.23