Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $238.01	Facility		$61.50	$61.50	$238.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $71.97 / $84.24	Professional		$60.53	$71.97	$84.24
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 $107.86 / $117.15 / $117.15	Professional		$107.86	$117.15	$117.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $117.15	Facility		$52.17	$52.17	$117.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $151.88	Professional		$38.08	$38.08	$151.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $117.15 / $222.59	Professional		$107.78	$117.15	$222.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.00 / $465.00 / $465.00	Facility		$465.00	$465.00	$465.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $111.29 / $111.29	Professional		$111.29	$111.29	$111.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $238.01	Facility		$61.50	$61.50	$238.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $71.97 / $115.87	Professional		$60.53	$71.97	$115.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.10 / $294.39 / $294.39	Professional		$242.10	$294.39	$294.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $117.15	Facility		$52.17	$52.17	$117.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $155.93	Professional		$38.08	$38.08	$155.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $134.82 / $134.82 / $188.64	Facility		$134.82	$134.82	$188.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $134.82 / $188.64	Professional		$133.27	$134.82	$188.64
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $107.28 / $180.06	Professional		$78.48	$107.28	$180.06