Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $38.47 / $49.51	Facility		$33.45	$38.47	$49.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $38.26 / $48.53	Professional		$33.45	$38.26	$48.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $45.14 / $45.14 / $57.24	Professional	25	$45.14	$45.14	$57.24
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 $34.90 / $41.06 / $41.06	Professional		$34.90	$41.06	$41.06
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $34.90 / $41.06 / $80.25	Professional	50	$34.90	$41.06	$80.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $43.05 / $65.43	Professional		$31.73	$43.05	$65.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $47.38 / $47.38	Professional		$47.38	$47.38	$47.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $37.13 / $58.51	Facility		$33.45	$37.13	$58.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.59 / $65.28	Professional		$33.64	$39.59	$65.28
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $45.14 / $45.14 / $57.24	Professional	25	$45.14	$45.14	$57.24
Optum Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $42.41 / $54.89	Professional		$35.00	$42.41	$54.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $42.41 / $54.89	Professional		$35.00	$42.41	$54.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $55.43 / $144.43	Professional		$30.62	$55.43	$144.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $38.54 / $45.68	Facility		$28.47	$38.54	$45.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $38.54 / $45.68	Professional		$28.47	$38.54	$45.68
United Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $48.78 / $70.00	Professional		$38.15	$48.78	$70.00