Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $98.58 / $303.39	Facility		$55.59	$98.58	$303.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $61.51 / $84.53	Professional		$47.42	$61.51	$84.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $135.08 / $135.08	Professional		$102.86	$135.08	$135.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $139.32	Facility		$77.09	$77.09	$139.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $121.99	Professional		$56.28	$56.28	$121.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $139.32 / $264.70	Professional		$128.16	$139.32	$264.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $447.79 / $486.79	Facility		$298.08	$447.79	$486.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $152.66 / $310.68	Facility		$93.81	$152.66	$310.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $65.04 / $87.60	Professional		$40.38	$65.04	$87.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $198.60 / $274.50	Professional		$94.30	$198.60	$274.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $139.32	Facility		$77.09	$77.09	$139.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $149.63	Professional		$56.28	$56.28	$149.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $128.57 / $128.57	Facility		$96.58	$128.57	$128.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $128.57 / $132.60	Professional		$96.58	$128.57	$132.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $67.43 / $118.03	Professional		$46.80	$67.43	$118.03