Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $56.38 / $218.19	Facility		$56.38	$56.38	$218.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $65.97 / $89.55	Professional		$55.53	$65.97	$89.55
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 $98.86 / $107.48 / $107.48	Professional		$98.86	$107.48	$107.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $128.79 / $128.79	Facility		$107.48	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $139.13	Professional		$94.02	$94.02	$139.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $107.48 / $204.21	Professional		$98.88	$107.48	$204.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $128.61 / $128.61	Professional		$128.61	$128.61	$128.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $56.38 / $218.19	Facility		$56.38	$56.38	$218.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $65.97 / $111.80	Professional		$55.53	$65.97	$111.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $269.89 / $269.89	Professional		$221.90	$269.89	$269.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $128.79 / $128.79	Facility		$107.48	$128.79	$128.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $94.02 / $140.52	Professional		$94.02	$94.02	$140.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.58 / $123.58 / $138.63	Facility		$123.58	$123.58	$138.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $122.16 / $123.58 / $138.63	Professional		$122.16	$123.58	$138.63
United Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $95.02 / $158.36	Professional		$68.23	$95.02	$158.36