Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $123.41 / $160.33	Facility		$53.27	$123.41	$160.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $111.81	Professional		$46.32	$46.32	$111.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.25 / $8,459.92	Facility		$42.90	$50.25	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $48.07 / $48.07	Professional		$48.07	$48.07	$48.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $46.32	Facility		$43.70	$46.32	$46.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $48.07	Professional		$46.32	$46.32	$48.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $64.84	Professional		$46.32	$46.32	$64.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $56.30 / $158.34	Facility		$53.62	$56.30	$158.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $53.71 / $59.66	Professional		$48.97	$53.71	$59.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $90.03 / $160.33	Facility		$53.27	$90.03	$160.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $53.27 / $7,270.05	Professional		$46.32	$53.27	$7,270.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $69.48	Professional		$27.40	$27.40	$69.48
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $46.32	Facility		$43.70	$46.32	$46.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $50.05	Professional		$46.32	$46.32	$50.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $94.64	Facility		$81.56	$81.56	$94.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $81.56 / $94.64	Professional		$81.56	$81.56	$94.64
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $75.56	Professional		$46.32	$49.10	$75.56