Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $4,426.56 / $12,318.08	Facility		$58.93	$4,426.56	$12,318.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $58.93 / $5,553.90	Professional		$57.53	$58.93	$5,553.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $55.98 / $65.86 / $8,459.92	Facility		$55.98	$65.86	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $65.87 / $65.87	Professional		$65.87	$65.87	$65.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $58.93 / $58.93	Professional		$50.09	$58.93	$58.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $110.22 / $172.41	Facility		$47.23	$110.22	$172.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $56.67 / $56.67	Professional		$56.67	$56.67	$56.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $6,098.77 / $15,340.09	Facility		$71.97	$6,098.77	$15,340.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $58.93 / $5,553.90	Professional		$57.53	$58.93	$5,553.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $172.86 / $267.79	Professional		$102.51	$172.86	$267.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $63.34 / $78.95	Facility		$63.34	$63.34	$78.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $63.34 / $78.95	Professional		$63.34	$63.34	$78.95
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $75.40	Professional		$57.78	$57.78	$75.40