Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $128.91 / $12,474.70	Facility		$55.64	$128.91	$12,474.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $102.70	Professional		$55.65	$56.20	$102.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $60.37 / $8,459.92	Facility		$51.54	$60.37	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $57.75	Professional		$57.75	$57.75	$57.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $55.65	Facility		$52.50	$55.65	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $56.01	Professional		$55.65	$55.65	$56.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $70.73	Professional		$57.75	$57.75	$70.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $107.18 / $107.18	Facility		$107.18	$107.18	$107.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $58.70 / $58.70	Professional		$58.70	$58.70	$58.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $94.03 / $9,858.00	Facility		$55.64	$94.03	$9,858.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $57.31 / $167.47	Professional		$55.64	$57.31	$167.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $76.18 / $92.50	Professional		$27.40	$76.18	$92.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $55.65	Facility		$52.50	$55.65	$55.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $57.75	Professional		$55.65	$55.65	$57.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $45.06 / $52.29	Facility		$45.06	$45.06	$52.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $52.29	Professional		$45.06	$45.06	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $76.84	Professional		$55.65	$58.99	$76.84