Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $76.87 / $116.76	Facility		$43.51	$76.87	$116.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $23.18 / $32.63	Professional		$18.50	$23.18	$32.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $120.54 / $156.53 / $8,639.91	Facility		$120.54	$156.53	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Professional		$22.05	$22.05	$22.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $36.76 / $82.71	Facility		$18.57	$36.76	$82.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $29.25	Professional		$14.86	$14.86	$29.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.68 / $38.28	Professional		$13.00	$16.68	$38.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $73.50 / $113.47	Facility		$31.26	$73.50	$113.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $106.01 / $116.76	Facility		$43.51	$106.01	$116.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.03 / $116.76	Professional		$21.20	$24.03	$116.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $152.97 / $152.97 / $190.73	Facility		$152.97	$152.97	$190.73
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $43.56 / $93.45	Facility		$19.75	$43.56	$93.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $29.25	Professional		$14.86	$14.86	$29.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.27 / $38.39	Facility		$28.27	$28.27	$38.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $28.27 / $38.39	Professional		$24.88	$28.27	$38.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $17.98 / $49.19	Professional		$12.72	$17.98	$49.19