Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $22.10 / $129.81	Facility		$17.68	$22.10	$129.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $22.10 / $29.47	Professional		$12.54	$22.10	$29.47
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 $27.46 / $36.06 / $36.06	Professional		$27.46	$36.06	$36.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $43.19	Facility		$22.13	$22.13	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.04	Professional		$18.80	$18.80	$26.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $36.85 / $70.02	Professional		$33.90	$36.85	$70.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $121.27 / $233.60	Facility		$121.27	$121.27	$233.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $28.07 / $129.81	Facility		$17.68	$28.07	$129.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $22.10 / $32.27	Professional		$10.08	$22.10	$32.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $49.20 / $71.00	Professional		$26.90	$49.20	$71.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $43.19	Facility		$22.13	$22.13	$43.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $42.75	Professional		$18.80	$18.80	$42.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $34.32 / $34.32	Facility		$25.77	$34.32	$34.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $34.32 / $35.08	Professional		$25.77	$34.32	$35.08
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.05 / $36.06	Professional		$12.05	$18.05	$36.06