Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $53,553.78	Facility		$172.40	$172.40	$53,553.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $172.40 / $172.40	Professional		$162.26	$172.40	$172.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $190.54 / $8,459.92	Facility		$161.96	$190.54	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $190.54 / $190.54	Professional		$190.54	$190.54	$190.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $172.47 / $172.47	Professional		$172.47	$172.47	$172.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $343.21 / $343.21	Facility		$343.21	$343.21	$343.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $51,480.00 / $60,399.00	Facility		$172.40	$51,480.00	$60,399.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $172.40 / $172.40	Professional		$162.26	$172.40	$172.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $326.30 / $336.00 / $363.68	Professional		$326.30	$336.00	$363.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $167.81 / $167.81 / $167.81	Facility		$167.81	$167.81	$167.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $167.81 / $171.17	Professional		$167.81	$167.81	$171.17
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $280.08	Professional		$202.82	$202.82	$280.08