Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $202.43 / $17,635.80	Facility		$79.25	$202.43	$17,635.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $167.00	Professional		$79.00	$79.79	$167.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $85.70 / $8,459.92	Facility		$73.16	$85.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $81.98 / $81.98	Professional		$81.98	$81.98	$81.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $79.00	Facility		$74.52	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $81.20	Professional		$79.00	$79.00	$81.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $85.70 / $106.95	Professional		$81.97	$85.70	$106.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.73 / $182.47 / $255.39	Facility		$101.73	$182.47	$255.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $194.58 / $17,635.80	Facility		$79.25	$194.58	$17,635.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $202.43	Professional		$79.00	$79.79	$202.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $118.60 / $144.19	Professional		$27.40	$118.60	$144.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $79.00	Facility		$74.52	$79.00	$79.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $82.33	Professional		$79.00	$79.00	$82.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $66.95 / $77.68	Facility		$66.95	$66.95	$77.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $77.68	Professional		$66.95	$66.95	$77.68
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $108.00	Professional		$79.00	$83.74	$108.00