Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $47.91 / $185.41	Facility		$47.91	$47.91	$185.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $53.01 / $61.98	Professional		$40.86	$53.01	$61.98
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 $88.65 / $116.42 / $116.42	Professional		$88.65	$116.42	$116.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $104.40	Facility		$73.27	$73.27	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $91.42	Professional		$53.49	$53.49	$91.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $104.40 / $198.36	Professional		$96.05	$104.40	$198.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $87.32 / $87.32	Professional		$87.32	$87.32	$87.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $47.91 / $185.41	Facility		$47.91	$47.91	$185.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $53.01 / $86.95	Professional		$40.85	$53.01	$86.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $142.40 / $205.70	Professional		$70.59	$142.40	$205.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $104.40	Facility		$73.27	$73.27	$104.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $121.88	Professional		$53.49	$53.49	$121.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.24 / $110.81 / $110.81	Facility		$83.24	$110.81	$110.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $110.81 / $110.81	Professional		$83.24	$110.81	$110.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $58.08 / $96.80	Professional		$41.09	$58.08	$96.80