Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $146.57 / $825.33	Facility		$64.83	$146.57	$825.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $75.87 / $91.65	Professional		$56.13	$75.87	$91.65
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 $119.95 / $157.53 / $157.53	Professional		$119.95	$157.53	$157.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $164.87	Facility		$115.38	$115.38	$164.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $144.37	Professional		$84.23	$84.23	$144.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $164.87 / $313.25	Professional		$151.68	$164.87	$313.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $68.80 / $509.29	Facility		$37.11	$68.80	$509.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $106.38 / $112.27	Professional		$106.38	$106.38	$112.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $151.87 / $825.33	Facility		$64.83	$151.87	$825.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $75.87 / $117.34	Professional		$47.45	$75.87	$117.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $71.59 / $324.80	Professional		$54.50	$71.59	$324.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $164.87	Facility		$115.38	$115.38	$164.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $198.00	Professional		$84.23	$84.23	$198.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $149.94 / $149.94	Facility		$108.93	$149.94	$149.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $149.94 / $162.41	Professional		$108.93	$149.94	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $79.45 / $142.07	Professional		$61.54	$79.45	$142.07