Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $177.68 / $17,299.20	Facility		$75.22	$177.68	$17,299.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.95 / $91.88	Professional		$75.22	$75.95	$91.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $81.61 / $8,459.92	Facility		$69.67	$81.61	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Professional		$78.06	$78.06	$78.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $75.22	Facility		$70.95	$75.22	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $78.06	Professional		$75.22	$75.22	$78.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $101.85	Professional		$78.06	$78.06	$101.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $201.68 / $289.35	Facility		$138.44	$201.68	$289.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $87.53 / $87.53	Professional		$80.77	$87.53	$87.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $165.53 / $26,402.77	Facility		$76.69	$165.53	$26,402.77
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $76.69 / $129.61	Professional		$75.22	$76.69	$129.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $149.53 / $192.70	Professional		$27.40	$149.53	$192.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $75.22	Facility		$70.95	$75.22	$75.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $85.15	Professional		$75.22	$75.22	$85.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $81.75 / $94.86	Facility		$81.75	$81.75	$94.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $81.75 / $94.86	Professional		$81.75	$81.75	$94.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $108.94	Professional		$75.22	$79.73	$108.94