Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $55.81 / $215.99	Facility		$55.81	$55.81	$215.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $60.13 / $70.09	Professional		$42.17	$60.13	$70.09
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 $103.26 / $135.61 / $135.61	Professional		$103.26	$135.61	$135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $107.74	Facility		$75.80	$75.80	$107.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $94.34	Professional		$55.33	$55.33	$94.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $107.74 / $204.71	Professional		$99.12	$107.74	$204.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $91.56 / $101.71	Professional		$91.56	$91.56	$101.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $55.81 / $215.99	Facility		$55.81	$55.81	$215.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $61.74 / $98.35	Professional		$42.17	$61.74	$98.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $146.90 / $212.30	Professional		$72.90	$146.90	$212.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $107.74	Facility		$75.80	$75.80	$107.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $151.13	Professional		$55.33	$55.33	$151.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $129.07 / $129.07	Facility		$96.95	$129.07	$129.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $96.95 / $129.07 / $129.07	Professional		$96.95	$129.07	$129.07
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $67.65 / $112.75	Professional		$45.10	$67.65	$112.75