Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $40.59 / $207.27	Facility		$31.96	$40.59	$207.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $31.96 / $31.96	Professional		$30.08	$31.96	$31.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.36 / $8,459.92	Facility		$2.00	$2.36	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Professional		$2.36	$2.36	$2.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.52 / $97.56 / $101.21	Facility		$77.52	$97.56	$101.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $94.92 / $619.92	Facility		$31.96	$94.92	$619.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $31.96 / $40.59	Professional		$30.08	$31.96	$40.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $130.55 / $179.35	Professional		$87.81	$130.55	$179.35
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $39.29	Facility		$35.72	$35.72	$39.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $35.72 / $39.29	Professional		$35.72	$35.72	$39.29
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $49.07	Professional		$37.60	$37.60	$49.07