Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $173.20 / $15,703.85	Facility		$71.37	$173.20	$15,703.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.06 / $89.92	Professional		$71.37	$72.06	$89.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $77.43 / $8,459.92	Facility		$66.09	$77.43	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $74.06 / $74.06	Professional		$74.06	$74.06	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $71.37 / $71.37	Facility		$67.33	$71.37	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $73.02	Professional		$71.37	$71.37	$73.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $77.43 / $93.07	Professional		$74.06	$77.43	$93.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.78 / $211.78 / $211.78	Facility		$211.78	$211.78	$211.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $119.20 / $13,727.00	Facility		$70.53	$119.20	$13,727.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $72.08 / $147.47	Professional		$70.53	$72.08	$147.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $105.90 / $128.69	Professional		$27.40	$105.90	$128.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $71.37 / $71.37	Facility		$67.33	$71.37	$71.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $74.06	Professional		$71.37	$71.37	$74.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $58.92 / $68.37	Facility		$58.92	$58.92	$68.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $68.37	Professional		$58.92	$58.92	$68.37
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $96.92	Professional		$71.37	$75.65	$96.92