Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $29.49 / $114.13	Facility		$29.49	$29.49	$114.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $32.63 / $50.67	Professional		$28.05	$32.63	$50.67
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 $54.57 / $71.67 / $71.67	Professional		$54.57	$71.67	$71.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $71.67	Facility		$52.95	$52.95	$71.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $62.75	Professional		$38.65	$38.65	$62.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $71.67 / $136.16	Professional		$65.94	$71.67	$136.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.24 / $331.24 / $331.24	Facility		$331.24	$331.24	$331.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $29.49 / $114.13	Facility		$29.49	$29.49	$114.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $34.51 / $59.71	Professional		$28.05	$34.51	$59.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $93.30 / $141.19	Professional		$48.50	$93.30	$141.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $71.67	Facility		$52.95	$52.95	$71.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $109.50	Professional		$38.65	$38.65	$109.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $68.20 / $68.20	Facility		$51.23	$68.20	$68.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $68.20 / $89.80	Professional		$51.23	$68.20	$89.80
United Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $35.75 / $64.63	Professional		$32.32	$35.75	$64.63